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Kenny Tokuji Michioka
Family Nurse Practitioner in Greenfield, California
NPI 1215559638

Kenny Tokuji Michioka is a Family Nurse Practitioner based in Greenfield, CA and is specialized in Family. Kenny Tokuji Michioka practices in Greenfield, CA. The NPI Number for Kenny Tokuji Michioka is 1215559638 and holds a License No. 95007921 (California).

The current practice location address for Kenny Tokuji Michioka is 467 El Camino Real, Greenfield, CA and can be reached out via phone at 831-674-0112.

Location: 467 El Camino Real, Greenfield, CA, 93927-4915
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215559638
Provider Name
Kenny Tokuji Michioka
Credential
Provider Entity Type
Individual
Gender
Male
Address
467 El Camino Real, Greenfield, CA, 93927-4915
Phone Number
831-674-0112
Fax Number
Provider Enumeration Date
05/07/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
467 El Camino Real
City
Greenfield
State
California
Zip
93927-4915
Phone Number
831-674-0112
Fax Number
person
Provider Business Mailing Address Details
Address
467 El Camino Real
City
Greenfield
State
California
Zip
93927-4915
Phone Number
831-674-0112
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95007921 (California)
Definition
Definition to come...
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