Individual
SOFIA MYKUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
180 BIGLER ROAD, UNIVERSITY PARK, PA 16802
(814) 863-0774
Mailing address
501 STUDENT HEALTH CTR, UNIVERSITY PARK, PA 16802-2129
Taxonomy
Speciality
Code
Description
License number
State
163WC1400X
College Health Registered Nurse
Primary
RN768767
PA
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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