Individual
ALYCIA MARIE COAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
451 3RD AVE STE 1, KINGSTON, PA 18704
(570) 288-6543
Mailing address
5 KRAFT ST, ARCHBALD, PA 18403-1830
(570) 219-5042
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA054641
PA
Other
Enumeration date
09/29/2010
Last updated
08/14/2019
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