Individual
KRISTEN DEANGELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 544-4978
Mailing address
2377 MIDDLEGREEN CT, LANCASTER, PA 17601-4927
(717) 468-8836
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA059715
PA
Other
Enumeration date
03/12/2018
Last updated
03/12/2018
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