Individual
MARLENA MITCHELL-MCCANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 WINDERMERE CT, MC MURRAY, PA 15317-3671
(724) 413-7572
Mailing address
101 WINDERMERE CT, MC MURRAY, PA 15317-3671
(724) 413-7572
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001172
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017603240003
—
PA
Enumeration date
02/26/2007
Last updated
02/10/2023
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