Individual
AUDRA PERPETUA SEBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
12 JAMES RD, FREELAND, PA 18224-3051
(570) 401-2174
Mailing address
12 JAMES RD, FREELAND, PA 18224-3051
(570) 401-2174
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA064023
PA
Other
Enumeration date
07/11/2022
Last updated
02/03/2023
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