Individual
KAYLA ROSE PERCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1205 N F AVE, DOUGLAS, AZ 85607-1920
(520) 364-1429
Mailing address
235 S CASTLE ST, BALTIMORE, MD 21231-2602
(512) 826-3095
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R223872
MD
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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