Individual
DANIELLE JACINDA ABRAHAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-3800
(814) 375-3886
Mailing address
PO BOX 447, 100 HOSPITAL AVE., DU BOIS, PA 15801-0447
(814) 375-3800
(814) 375-3886
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA053447
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA053447
PA LICENSE NUMBER
PA
Enumeration date
07/10/2008
Last updated
05/10/2016
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