Individual
MS. MIKAILA MOTTOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
40 HOLLAND STREET, SOMERVILLE, MA 02144-2705
(617) 629-6530
(617) 629-6067
Mailing address
40 HOLLAND STREET, SOMERVILLE, MA 02144-2705
(617) 629-6530
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2330659
MA
Other
Enumeration date
12/15/2022
Last updated
03/06/2024
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