Individual
MIKAYLA ANNE LEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
405 MONROE ST, PELLA, IA 50219-1189
(641) 621-2200
(641) 628-7241
Mailing address
2213 26TH AVE SW, ALTOONA, IA 50009
(515) 868-8714
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/09/2023
Last updated
04/28/2025
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