Provider Demographics
NPI:1588496954
Name:MIKLAJ, TEREZIJA
Entity type:Individual
Prefix:
First Name:TEREZIJA
Middle Name:
Last Name:MIKLAJ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TERESA
Other - Middle Name:
Other - Last Name:MIKLAJ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:650 IMPERIAL WAY
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94559-1344
Mailing Address - Country:US
Mailing Address - Phone:707-253-3818
Mailing Address - Fax:707-253-6117
Practice Address - Street 1:650 IMPERIAL WAY
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559-1344
Practice Address - Country:US
Practice Address - Phone:707-253-3818
Practice Address - Fax:707-253-6117
Is Sole Proprietor?:No
Enumeration Date:2024-08-15
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program