Individual
JILL MARIE CAVALET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
620 HOWARD AVENUE, ALTOONA, PA 16601
(814) 946-2183
Mailing address
214 ALBA DRIVE, LILLY, PA 15938
(814) 884-0123
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002734
PA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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