MR. Mickey Iliescu
NPI #1386176808 in Orangevale, California
Provider Information
- NPI Number
- 1386176808
- Entity Type
- Individual
- Name
- MR. Mickey Iliescu
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Custodial Care Facility
- Enumeration Date
- Apr 3, 2017
- Last Updated
- Apr 3, 2017
Practice Location
- Address
- 7125 MAIN AVE
- City
- Orangevale
- State
- California
- ZIP Code
- 95662-2813
- Phone
- (916) 987-7285
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility |
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