Individual provider · NPI-1

Mickenon Adams

Technician, Other · San Francisco, CA

NPI number1306423702
StatusActive
Last updated in NPPESMar 24, 2021

Details

NPI
1306423702
Entity type
Individual (NPI-1)
Name
Mickenon Adams
Sex
Male
Sole proprietor
No
Enumeration date
Mar 24, 2021
Certification date
Mar 24, 2021
Last updated
Mar 24, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247200000X Technician, Other––Yes

Practice location

795 Folsom St Fl 1
San Francisco, CA 94107-4226

Phone 855-832-6727

Mailing address

7108 S Kanner Hwy
Stuart, FL 34997-7462

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Technician, Other providers in San Francisco, CA