Miko Fogarty

NPI #1326790668 in Orinda, California

Provider Information

NPI Number: 1326790668
Entity Type: Individual
Name: Miko Fogarty
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 18, 2022
Last Updated: Jan 18, 2022

Practice Location

Address: 134B ARDITH DR
City: Orinda
State: California
ZIP Code: 94563-4202
Phone: (925) 255-3017

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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