Individual
MIKAYLA PULLIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2635 N 7TH ST, GRAND JUNCTION, CO 81501-8209
(505) 412-8736
Mailing address
1429 ADAMS ST NE, ALBUQUERQUE, NM 87110-5046
(505) 412-8736
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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