Healthcare Provider Details

I. General information

NPI: 1912369604
Provider Name (Legal Business Name): MIKKI ROUTHEAU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2016
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 N SAN PEDRO RD
SAN RAFAEL CA
94903-4188
US

IV. Provider business mailing address

20 N SAN PEDRO RD
SAN RAFAEL CA
94903-4188
US

V. Phone/Fax

Practice location:
  • Phone: 415-473-4132
  • Fax:
Mailing address:
  • Phone: 415-473-4132
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: