Individual
JENNIFER M FETTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
88 OSBORNE ST, JOHNSTOWN, PA 15905-4146
(814) 539-0798
(814) 536-4751
Mailing address
88 OSBORNE ST, JOHNSTOWN, PA 15905-4146
(814) 539-0798
(814) 536-4751
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA002696L
PA
Other
Enumeration date
02/13/2006
Last updated
04/12/2011
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