Krishuna S Mickens
Krishuna S Mickens is an Athletic Trainer in Los Angeles, California. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
1912 W 75th StLos Angeles, CA 90047-2324
Phone: (323) 895-2596
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1548838766 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 14, 2021 |
| Last updated in NPPES | June 14, 2021 |
| Certification date | June 14, 2021 |
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