Individual
GWENDOLYN COLLIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1135 OLDE W CHOCOLATE AVE, HUMMELSTOWN, PA 17036-9188
(717) 531-7010
(717) 531-7102
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA060406
PA
363A00000X
Physician Assistant
OA004712
PA
Other
Enumeration date
01/10/2019
Last updated
04/08/2019
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