MIKALA WADE

BEECH GROVE, IN
NPI1518647312
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2083S0010X Preventive Medicine, Sports Medicine
(Licence: IN  1230965914)
Enumeration Date2023-07-18
Last Update Date2023-07-18
Business Address
MIKALA WADE
212 S 12TH AVE
BEECH GROVE, IN 46107-1717
Phone number: 317-724-3228
Mailing Address
MIKALA WADE
212 S 12TH AVE
BEECH GROVE, IN 46107-1717
Phone number: 317-724-3228