Denise Mickles

NPI #1194262055 in Hyattsville, Maryland

Provider Information

NPI Number: 1194262055
Entity Type: Individual
Name: Denise Mickles
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Adult Companion
Enumeration Date: Jan 30, 2017
Last Updated: Jan 30, 2017

Practice Location

Address: 1842 RYDERWOOD CT
City: Hyattsville
State: Maryland
ZIP Code: 20785-3976
Phone: (240) 758-9061

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Adult Companion	372600000X	Primary

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