Individual
KAYLA MAILLOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
65 SPRINGFIELD RD STE 2, WESTFIELD, MA 01085-1895
(413) 562-8306
Mailing address
35 BAGGS HILL RD, GRANBY, MA 01033-9508
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA7381
MA
363A00000X
Physician Assistant
—
MA
Other
Enumeration date
02/17/2020
Last updated
09/16/2024
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