Individual
KASSAUNDRA THIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 MULBERRY ST, SCRANTON, PA 18510-2369
(570) 703-8000
Mailing address
714 PARKVIEW RD, MOSCOW, PA 18444-5130
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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