Individual
ASHLY GUTIERREZ BADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
546 W BROAD ST, HAZLETON, PA 18201-6108
(570) 501-6400
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
PA
363AM0700X
Medical Physician Assistant
—
PA
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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