Individual
DEVON CANTALOPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1225 WARM SPRINGS AVE, HUNTINGDON, PA 16652-2350
(814) 643-2290
Mailing address
200 POST OFFICE RD, SAINT BENEDICT, PA 15773-7703
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA059088
PA
Other
Enumeration date
06/05/2017
Last updated
05/24/2021
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