MIKISA WILDER

PHILADELPHIA, PA
NPI1043728868
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171100000X Acupuncturist
(Licence: PA  503146)
Enumeration Date2018-01-15
Last Update Date2018-01-15
Business Address
Ms. MIKISA WILDER NCMA
5502 CEDAR AVE APT 1A
PHILADELPHIA, PA 19143-1930
Phone number: 267-973-2312
Mailing Address
Ms. MIKISA WILDER NCMA
5502 CEDAR AVE APT 1A
PHILADELPHIA, PA 19143-1930
Phone number: 267-973-2312
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