Individual
MS. SANDRA L MOFFETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
Mailing address
1671 CROOKED OAK DR, LANCASTER, PA 17601-4269
(717) 569-5331
(717) 569-4210
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA053686
PA
Other
Enumeration date
10/09/2008
Last updated
12/21/2015
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