Individual
GRACE LEE MAGAHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1224 7TH AVE, ALTOONA, PA 16602-2402
(814) 944-8784
Mailing address
229 HILLSIDE AVE, ALTOONA, PA 16601-7722
(814) 215-3313
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA061673
PA
Other
Enumeration date
07/07/2020
Last updated
11/08/2021
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