Individual
TABITHA RACHELLE SHANNON VASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
810 CLAIRTON BLVD STE 100, PITTSBURGH, PA 15236-5505
(412) 466-5004
(412) 466-7137
Mailing address
810 CLAIRTON BLVD STE 100, PITTSBURGH, PA 15236-5505
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD481918
PA
Other
Enumeration date
03/21/2019
Last updated
06/21/2024
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