MRS. Michelle Marie Mayes

NPI #1265795058 in Brackney, Pennsylvania

Provider Information

NPI Number: 1265795058
Entity Type: Individual
Name: MRS. Michelle Marie Mayes
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Jun 18, 2012
Last Updated: Jun 18, 2012

Practice Location

Address: 603 KENNEDY RD
City: Brackney
State: Pennsylvania
ZIP Code: 18812-9790
Phone: (570) 663-2812

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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