Individual
BRIANA MARIE SHABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 N 9TH AVE, ALTOONA, PA 16601-6326
(814) 934-3566
(814) 940-2960
Mailing address
1414 9TH AVE, ALTOONA, PA 16602-2415
(814) 940-2950
(814) 940-2960
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA004854
PA
Other
Enumeration date
06/18/2019
Last updated
12/08/2021
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