Individual
MIKAELA LIEM CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
5520 FL-64 #101, BRADENTON, FL 34208
(941) 721-0649
Mailing address
1662 COMMONWEALTH AVE APT 34, BRIGHTON, MA 02135-5609
(617) 266-2030
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT8304
MA
Other
Enumeration date
04/09/2025
Last updated
09/25/2025
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