MIKAYLA MARY LUISE

HARTFORD, CT
NPI1922675883
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CT  5243)
Enumeration Date2021-06-09
Last Update Date2022-12-01
Business Address
MIKAYLA MARY LUISE PA-C
114 WOODLAND ST
HARTFORD, CT 06105-1208
Phone number: 860-714-4000
Mailing Address
MIKAYLA MARY LUISE PA-C
9 GREENBRIAR DR APT D
FARMINGTON, CT 06032-1406
Phone number: 860-605-6010