Individual
BREONNA KALI TRUSCELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
167 ZEMAN DR, EBENSBURG, PA 15931-4103
(814) 472-9119
Mailing address
640 KOLTER DR, INDIANA, PA 15701-3570
(724) 357-7333
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA063745
PA
363AM0700X
Medical Physician Assistant
Primary
MA063745
PA
Other
Enumeration date
07/20/2022
Last updated
12/03/2024
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