Individual
KARA ROSE FAGERSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
3151 WALBERT AVE STE 200, ALLENTOWN, PA 18104-6042
(484) 526-1735
(484) 526-2429
Mailing address
3151 WALBERT AVE STE 200, ALLENTOWN, PA 18104-6042
(484) 526-1735
(484) 526-2429
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA065979
PA
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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