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Individual
MICHAELLA C CAREY
Active
Individual
MICHAELLA C CAREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA059813
PA
363AM0700X
Medical Physician Assistant
MD059813
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1035203660001
—
PA
01
—
MA059813
LICENSE
PA
Enumeration date
06/12/2018
Last updated
09/03/2024
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