Individual
MCKAYLA MAWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-3797
Mailing address
2128 KATER ST, PHILADELPHIA, PA 19146-1215
(484) 844-0970
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MT225564
PA
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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