Individual
CHEYENNE TREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 LIFE MARK DR STE D, SELLERSVILLE, PA 18960-1598
(215) 257-1127
Mailing address
3 LIFE MARK DR STE D, SELLERSVILLE, PA 18960-1598
(215) 257-1127
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA066619
PA
Other
Enumeration date
09/17/2024
Last updated
10/01/2025
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