Individual
DEBORAH L KHALIFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
824 MCALPINE ST, AVOCA, PA 18641
(570) 457-9299
Mailing address
115 JASON DR, WILKES BARRE, PA 18702-2726
(570) 825-5673
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA-001376-L
PA
363A00000X
Physician Assistant
Primary
OA000106L
PA
Other
Enumeration date
04/08/2013
Last updated
07/03/2018
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