Mikayla Marie Van Dervoort, PA-C
NPI #1649014614 in Saugus, Massachusetts
Provider Information
- NPI Number
- 1649014614
- Entity Type
- Individual
- Name
- Mikayla Marie Van Dervoort, PA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jun 24, 2024
- Last Updated
- Sep 16, 2024
Practice Location
- Address
- 180 MAIN ST
- City
- Saugus
- State
- Massachusetts
- ZIP Code
- 01906-3213
- Phone
- (339) 674-0978
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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