Mikyung Mikeal is a Mastectomy Fitter based in Stafford, VA. Mikyung Mikeal practices in Stafford, VA. The NPI Number for Mikyung Mikeal is 1326338955 and holds a License No. (Virginia).
The current practice location address for Mikyung Mikeal is 2170 Harpoon Dr, Stafford, VA and can be reached out via phone at 540-720-7688.
Location: 2170 Harpoon Dr, Stafford, VA, 22554-2330
Provider Profile Details
NPI Number
1326338955
Provider Name
Mikyung Mikeal
Credential
Provider Entity Type
Individual
Gender
Female
Address
2170 Harpoon Dr, Stafford, VA, 22554-2330
Phone Number
540-720-7688
Fax Number
Provider Enumeration Date
04/16/2011
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
2170 Harpoon Dr
City
State
Zip
22554-2330
Phone Number
540-720-7688
Fax Number
Provider Business Mailing Address Details
Address
2170 Harpoon Dr
City
State
Zip
22554-2330
Phone Number
540-720-7688
Fax Number
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Mastectomy Fitter
Speciality
-
Taxonomy
License No.
()
Definition
An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
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