Individual
MISS MARNIE CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
428 S 7TH ST, LEHIGHTON, PA 18235-1818
(610) 900-4234
Mailing address
93 FAWN ROAD, JIM THORPE, PA 18229-1411
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA057506
PA
Other
Enumeration date
06/05/2015
Last updated
10/03/2019
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