Individual
JENNA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 STATE ST, ERIE, PA 16550-0002
(814) 877-6139
Mailing address
201 STATE ST, ERIE, PA 16550-0002
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA057630
PA
Other
Enumeration date
06/19/2015
Last updated
02/10/2023
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