Individual
MISS ANGELA GRACE WEEKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1330 W 26TH ST, ERIE, PA 16508-1402
(814) 459-9300
Mailing address
1330 W 26TH ST, ERIE, PA 16508-1402
(814) 459-9300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA005424
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1177332
NCCPA
—
Enumeration date
01/15/2021
Last updated
05/27/2021
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