Individual
MS. KATIE BETTYJEAN ULRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMS, PA-C
Contact information
Practice address
4301 5TH STREET HWY STE 100, TEMPLE, PA 19560-1739
(610) 208-8800
Mailing address
4301 5TH STREET HWY STE 100, TEMPLE, PA 19560-1739
(610) 208-8800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA059430
PA
Other
Enumeration date
10/18/2017
Last updated
07/11/2023
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