Provider Demographics
NPI:1447073259
Name:LITTLEFIELD, MYCALA ANN
Entity type:Individual
Prefix:
First Name:MYCALA
Middle Name:ANN
Last Name:LITTLEFIELD
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 1:791 PALMA DR APT C
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-1165
Mailing Address - Country:US
Mailing Address - Phone:831-256-1905
Mailing Address - Fax:
Practice Address - Street 1:791 PALMA DR APT C
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-1165
Practice Address - Country:US
Practice Address - Phone:831-256-1905
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-01
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator