NPI 1043728868

Mikisa Wilder, NCMA

Practitioner Acupuncturist Philadelphia, PA

Practice location

Address: 5502 Cedar Ave APT 1a, Philadelphia, PA 19143-1930
Phone: (267) 973-2312

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence 503146 (PA)

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Registry record

NPI: 1043728868
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jan 2018
Record last updated: 15 Jan 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.