Individual
MICAELA L SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1924 COUNTY LINE RD, HUNTINGDON VALLEY, PA 19006-1738
(215) 357-9011
Mailing address
1924 COUNTY LINE RD, HUNTINGDON VALLEY, PA 19006-1738
(215) 357-9011
(215) 357-9565
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG003460
PA
Other
Enumeration date
06/21/2018
Last updated
03/19/2024
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