Individual
ISABELA MARLENE TETINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-6058
(570) 271-6367
(570) 271-7142
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
MA061205
PA
363A00000X
Physician Assistant
Primary
MA061205
PA
Other
Enumeration date
11/08/2019
Last updated
07/27/2022
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