Provider Demographics
NPI:1922361039
Name:MISKINIS, MAJEL JOSEPHINE (RCP)
Entity type:Individual
Prefix:MS
First Name:MAJEL
Middle Name:JOSEPHINE
Last Name:MISKINIS
Suffix:
Gender:F
Credentials:RCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4403 MANCHESTER AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-4939
Mailing Address - Country:US
Mailing Address - Phone:760-436-6034
Mailing Address - Fax:760-436-5123
Practice Address - Street 1:4403 MANCHESTER AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-4939
Practice Address - Country:US
Practice Address - Phone:760-436-6034
Practice Address - Fax:760-436-5123
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-22
Last Update Date:2012-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31226172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker