Provider Demographics
NPI:1770299182
Name:EASON MARCHI, MIKKI
Entity type:Individual
Prefix:
First Name:MIKKI
Middle Name:
Last Name:EASON MARCHI
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 1:16445 JANINE DR
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90603-1604
Mailing Address - Country:US
Mailing Address - Phone:661-618-6958
Mailing Address - Fax:
Practice Address - Street 1:16445 JANINE DR
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90603-1604
Practice Address - Country:US
Practice Address - Phone:661-618-6958
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist