Individual
KRISTIN JULIA MAILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2400 MARYLAND RD, WILLOW GROVE, PA 19090-1700
(215) 830-8700
(215) 830-8715
Mailing address
502 STURBRIDGE CT, KING OF PRUSSIA, PA 19406-2769
(570) 575-1418
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA053024
PA
Other
Enumeration date
07/06/2007
Last updated
05/05/2009
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