Most Relevant Information
Provider Data
NPI Number: | 1003377854 |
Provider Name: | MIKELA MARIYA PADILLA MD |
Entity Type: | Individual |
Taxonomy Code: | 390200000X |
Specialty: | Student in an Organized Health Care Education/Training Program |
License Number: |
Most Important Dates
Enumeration Date: | 03/26/2019 |
Last Updated: | 10/27/2023 |
Provider Practice Location
155 N FRESNO ST
FRESNO
CA
937012302
Practice Location Phone/Fax
Phone: | 5594996518 |
Fax: |
Provider Mailing Location
155 N FRESNO ST
FRESNO
CA
937012302
Provider Mailing Phone/Fax
Phone: | 5594996518 |
Fax: |