Mikaela Licht
NPI #1427603026 in Rapid City, South Dakota
Provider Information
- NPI Number
- 1427603026
- Entity Type
- Individual
- Name
- Mikaela Licht
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician - Attendant Care Provider
- Enumeration Date
- Aug 9, 2019
- Last Updated
- Aug 9, 2019
Practice Location
- Address
- 4310 CEDAR RIDGE PL. APT #5
- City
- Rapid City
- State
- South Dakota
- ZIP Code
- 57702
- Phone
- (605) 545-2594
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Attendant Care Provider — Attendant Care Provider |
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