Individual
BROOKE LYNN MAKUCHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
322 WARREN ST STE 300, JOHNSTOWN, PA 15905-3443
(814) 288-1418
Mailing address
322 WARREN ST STE 300, JOHNSTOWN, PA 15905-3443
(814) 288-4498
(814) 288-5427
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/06/2018
Last updated
02/06/2023
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