MIKAYLA STOUDT

PHILADELPHIA, PA
NPI1235901778
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: PA  MA065051)
Enumeration Date2023-10-27
Last Update Date2023-10-27
Business Address
MIKAYLA STOUDT PA-C
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104-4319
Phone number: 215-590-1944
Mailing Address
MIKAYLA STOUDT PA-C
139 N 23RD ST APT 105
PHILADELPHIA, PA 19103-1197
Phone number: 484-619-4471