Individual
NOMASIKO MANDY HLAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6202
(610) 402-7880
(610) 402-7881
Mailing address
2585 JEANNETTE LN, EASTON, PA 18040-5818
(404) 496-0709
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA063459
PA
363AM0700X
Medical Physician Assistant
Primary
MA063459
PA
Other
Enumeration date
05/19/2022
Last updated
07/18/2025
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