Individual
COURTNEY ENTERLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1008 S 5TH AVE, SUITE 203, CLARION, PA 16214-8676
(814) 223-9280
Mailing address
1008 S 5TH AVE, SUITE 203, CLARION, PA 16214-8676
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA003240
PA
Other
Enumeration date
03/05/2014
Last updated
04/06/2021
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