Individual
MS. DIANA RENE BURICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1139 BEN FRANKLIN HWY W, DOUGLASSVILLE, PA 19518-1850
(610) 385-4444
Mailing address
1139 BEN FRANKLIN HWY W, DOUGLASSVILLE, PA 19518-1850
(610) 385-4444
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA053393
PA
Other
Enumeration date
05/21/2008
Last updated
02/07/2012
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