Individual
ETHAN ROSS YAP DUMAYAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
247 SHEKOMEKO LN, JOHNSTOWN, PA 15905-2938
(814) 248-6252
Mailing address
247 SHEKOMEKO LN, JOHNSTOWN, PA 15905-2938
(814) 248-6252
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA062011
PA
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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