Individual
MRS. THERESA MICKNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
165 FALLBROOK ST, CARBONDALE, PA 18433
(570) 282-3151
Mailing address
217 BELL MOUNTAIN RD, JERMYN, PA 18433-3611
(570) 254-4663
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA001651L
PA
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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