Individual
JILL LING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2 CELESTE DR, JOHNSTOWN, PA 15905-2832
(814) 255-6781
(814) 255-5716
Mailing address
2 CELESTE DR, JOHNSTOWN, PA 15905-2832
(814) 255-6781
(214) 255-5716
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA051743
PA
Other
Enumeration date
06/13/2005
Last updated
12/07/2007
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