Individual
MRS. BRIANNE DANIELLE HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4247 W RIDGE RD, ERIE, PA 16506-1746
(814) 838-2468
(814) 835-2599
Mailing address
4247 W RIDGE RD, ERIE, PA 16506-1746
(814) 838-2468
(814) 835-2599
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA058125
PA
Other
Enumeration date
05/09/2015
Last updated
10/02/2020
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