Individual
FENELLA TRAKTOVENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
559 W GERMANTOWN PIKE, EAST NORRITON, PA 19403-4250
(484) 622-7700
Mailing address
101 E OLNEY AVE, STE 400, PHILADELPHIA, PA 19120-2470
(267) 240-5922
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA061297
PA
Other
Enumeration date
04/10/2020
Last updated
06/05/2020
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