Individual
WENDY ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
45 E WASHINGTON ST, CORRY, PA 16407-1638
(814) 664-7761
Mailing address
963 MAPLE LN, MEADVILLE, PA 16335-1142
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA000838L
PA
Other
Enumeration date
05/15/2014
Last updated
10/14/2016
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