Individual
MRS. JOELLE TANGUY EYSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2391
(717) 531-6092
Mailing address
733 GROFF AVE, ELIZABETHTOWN, PA 17022-2828
(717) 572-0434
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C0005807
MD
363A00000X
Physician Assistant
Primary
MA060180
PA
363AS0400X
Surgical Physician Assistant
C0005807
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1464027-34
—
MD
Enumeration date
04/23/2015
Last updated
05/23/2024
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