SearchCalifornia106H00000X

Micaela Van Dine

NPI 1750833711 · on the registry since 2016

Practice

Address
611 4th St
West Sacramento, CA 95605
Phone
(916) 256-0618

Registry record

Primary taxonomy
106H00000X
106H00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-10-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California