Individual
ALLYSA MARY VAVRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(570) 657-0818
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(570) 657-0818
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
PA
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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