Individual
MISS CASSANDRA S. DESTEFANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2310 PATTON RD, HARRISBURG, PA 17112-9154
(717) 724-6500
(717) 724-6510
Mailing address
2310 PATTON RD, HARRISBURG, PA 17112-9154
(717) 724-6500
(717) 724-6510
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA056943
PA
363AM0700X
Medical Physician Assistant
MA056943
PA
Other
Enumeration date
07/17/2014
Last updated
03/28/2023
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