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Stephanie Mita
Foot & Ankle Surgery Podiatrist in Vallejo, California
NPI 1669836763

Stephanie Mita is a Foot & Ankle Surgery Podiatrist based in Vallejo, CA and is specialized in Foot & Ankle Surgery. Stephanie Mita practices in Vallejo, CA. The NPI Number for Stephanie Mita is 1669836763 and holds a License No. E5567 (California).

The current practice location address for Stephanie Mita is 975 Sereno Dr, Vallejo, CA and can be reached out via phone at 707-651-1000.

Location: 975 Sereno Dr, Vallejo, CA, 94589-2441
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669836763
Provider Name
Stephanie Mita
Credential
Provider Entity Type
Individual
Gender
Female
Address
975 Sereno Dr, Vallejo, CA, 94589-2441
Phone Number
707-651-1000
Fax Number
Provider Enumeration Date
04/05/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
975 Sereno Dr
City
Vallejo
State
California
Zip
94589-2441
Phone Number
707-651-1000
Fax Number
person
Provider Business Mailing Address Details
Address
975 Sereno Dr
City
Vallejo
State
California
Zip
94589-2441
Phone Number
707-651-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
E5567 (California)
Definition
Definition to come...
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