Individual
EMINA VAKUFAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
120 E 2ND ST STE 400, ERIE, PA 16507-1577
(814) 877-5600
Mailing address
120 E 2ND ST FL 4, ERIE, PA 16507-1577
(814) 877-5600
(814) 877-5601
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA061216
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103758936
—
PA
Enumeration date
01/08/2020
Last updated
04/29/2022
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