Individual
DR. MARYELLEN EVA MARRANCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1137 WYOMING AVE, EXETER, PA 18643-1944
(570) 654-5152
(570) 654-5152
Mailing address
106 JEAN ST, EXETER, PA 18643-1514
(570) 654-5152
(570) 654-5152
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-005509-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001494040 0001
—
PA
01
—
425023
HEALTH AMERICA
PA
01
—
804810
FIRST PRIORITY HEALTH
PA
Enumeration date
04/14/2007
Last updated
07/08/2007
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