Individual
MIKAYLA GRACE UNDERWOOD AGUILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DVM
Contact information
Practice address
3900 SPRUCE ST, PHILADELPHIA, PA 19104-4113
(215) 746-8387
Mailing address
407 S 42ND ST APT 1R, PHILADELPHIA, PA 19104-4092
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
174M00000X
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BV017631
STATE BOARD OF VETERINARY MEDICINE
PA
Enumeration date
07/03/2025
Last updated
07/03/2025
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