Individual
JENNA MARIE DESALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4401 PENN AVE, PITTSBURGH, PA 15224-1334
(412) 692-5555
Mailing address
251 45TH ST, PITTSBURGH, PA 15201-2848
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA059311
PA
Other
Enumeration date
01/22/2018
Last updated
11/26/2024
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