Provider Demographics
NPI:1205410313
Name:FRANCISCO, MIKAELA KRISTINE
Entity Type:Individual
Prefix:
First Name:MIKAELA
Middle Name:KRISTINE
Last Name:FRANCISCO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2108
Mailing Address - Street 2:
Mailing Address - City:MOSES LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:98837-0508
Mailing Address - Country:US
Mailing Address - Phone:509-750-1609
Mailing Address - Fax:
Practice Address - Street 1:315 N SAN SABA STE 930
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78207-3154
Practice Address - Country:US
Practice Address - Phone:210-704-3200
Practice Address - Fax:210-704-2718
Is Sole Proprietor?:No
Enumeration Date:2021-05-06
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS