Individual
ANNA MAE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
955 BELLEFONTE AVE, LOCK HAVEN, PA 17745
(570) 748-7714
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA001182L
PA
Other
Enumeration date
05/21/2007
Last updated
08/06/2020
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