Individual
DANETTE GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
792 GALLITZIN RD, CRESSON, PA 16630-2213
(814) 886-8161
Mailing address
1684 RODGERS AVE, CRESSON, PA 16630-1061
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA001438L
PA
Other
Enumeration date
09/28/2011
Last updated
05/24/2021
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