Provider Demographics
NPI:1982316618
Name:HUGHES, MILENE KRISTIAN (CPT-1)
Entity Type:Individual
Prefix:MS
First Name:MILENE
Middle Name:KRISTIAN
Last Name:HUGHES
Suffix:
Gender:F
Credentials:CPT-1
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2108 N ST STE 8581
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-5712
Mailing Address - Country:US
Mailing Address - Phone:661-230-9796
Mailing Address - Fax:
Practice Address - Street 1:4254 E AVENUE S4
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93552-5143
Practice Address - Country:US
Practice Address - Phone:626-391-9779
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-13
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACPT1001703246RP1900X, 246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy