Individual
RACHEL DESTEFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 S LOGAN BLVD STE 3100, SUITE 3100, HOLLIDAYSBURG, PA 16648-3050
(814) 889-4300
Mailing address
404 LODGE LN, SUITE 3100, ALTOONA, PA 16601-7241
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
OA004357
PA
Other
Enumeration date
11/15/2017
Last updated
06/15/2021
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