Search › California › 103K00000X

Kristi Miklusicak, M.A., B.I.C.M

NPI 1851632186 · on the registry since 2013

Practice

Address
510 Chabot Ave
Modesto, CA 95354
Phone
(209) 968-9080
Organisation at this address
Living Well Bcs Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-03-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California