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Individual

CAITLIN RALSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
100 SCHUYLKILL MED PLZ, SUITE 202, POTTSVILLE, PA 17901-3636
(570) 621-5987
(570) 621-5980
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA003996
PA
363AM0700X
Medical Physician Assistant
MA058688
PA

Other

Enumeration date
10/25/2016
Last updated
03/06/2020
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