Individual
MS. CARA CENTRELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2151 LINGLESTOWN RD, SUITE 100, HARRISBURG, PA 17110-9499
(717) 545-4786
(717) 545-6359
Mailing address
50 N 12TH ST, LEMOYNE, PA 17043-1440
(717) 234-2561
(717) 545-6359
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA058346
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103188745
—
PA
Enumeration date
08/11/2016
Last updated
01/30/2020
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