Individual
MISS CARLIE ANN CRAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1032 N WASHINGTON AVE, SCRANTON, PA 18509-2913
(570) 558-8660
(570) 558-6147
Mailing address
1032 N WASHINGTON AVE, SCRANTON, PA 18509-2913
(570) 558-8660
(570) 558-6147
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA059374
PA
363A00000X
Physician Assistant
Primary
OA004282
PA
Other
Enumeration date
06/06/2017
Last updated
03/17/2018
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