JAYLON VAUGHN MIKEL

RIVERVIEW, FL
NPI1619678547
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA32592)
Enumeration Date2023-03-16
Last Update Date2023-03-16
Business Address
Mr. JAYLON VAUGHN MIKEL PTA
8726 DEEP MAPLE DR
RIVERVIEW, FL 33578-8979
Phone number: 918-237-9871
Mailing Address
Mr. JAYLON VAUGHN MIKEL PTA
8726 DEEP MAPLE DR
RIVERVIEW, FL 33578-8979
Phone number: 918-237-9871