Individual
CARYL L. WAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3901 S ATHERTON ST, SUITE 5, STATE COLLEGE, PA 16801-8324
(814) 466-7921
(814) 466-6570
Mailing address
3901 S ATHERTON ST, SUITE 5, STATE COLLEGE, PA 16801-8324
(814) 466-7921
(814) 466-6570
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA002690L
PA
Other
Enumeration date
04/11/2006
Last updated
08/14/2013
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