Individual
ALEXIS A YAKICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
104 EAST CENTRAL AVENUE, AVIS, PA 17721
(570) 753-8620
(570) 753-5489
Mailing address
104 EAST CENTRAL AVENUE, PO BOX 430, AVIS, PA 17721
(570) 753-8620
(570) 753-5489
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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