Individual
CIERA RAE DAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(267) 273-8512
Mailing address
3401 N BROAD STREET, PARKINSON PAVILION 3RD FLOOR - CARDIOVASCULAR SURGERY, PHILADELPHIA, PA 19140
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA059961
PA
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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