Mr. Mickey Iliescu
Mr. Mickey Iliescu is a Custodial Care Facility in Orangevale, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2017
Practice location Address checks out
7125 Main AveOrangevale, CA 95662-2813
Phone: (916) 987-7285
Fax: (916) 987-7165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Custodial Care Facility (primary) | Taxonomy 311Z00000X · Licence 347003704 (CA) |
|---|
Record details
| NPI number | 1386176808 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 3, 2017 |
| Last updated in NPPES | April 3, 2017 |
| Mailing address | 7111 Main Ave, Orangevale, CA 95662-2813 |