Matthew Mickle
Matthew Mickle is a Student in an Organized Health Care Education/Training Program in Riverside, California. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
10800 Magnolia AveRiverside, CA 92505-3043
Phone: (833) 574-2273
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1043063530 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 8, 2024 |
| Last updated in NPPES | April 21, 2026 |
| Certification date | April 21, 2026 |
| Mailing address | 10800 Magnolia Ave, Riverside, CA 92505-3043 |
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