Individual
GRACELYN MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1111 E END BLVD, WILKES BARRE, PA 18711-0030
(570) 824-5321
Mailing address
155 E STATE ST, LARKSVILLE, PA 18704-1011
(570) 690-9131
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA064966
PA
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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