Individual
HOLLY A WANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
175 LAMOKA RD, SAYRE, PA 18840-9429
(570) 964-8001
(570) 890-2818
Mailing address
4624 ROUTE 154, CANTON, PA 17724-7344
(570) 506-3905
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA053461
PA
Other
Enumeration date
08/13/2008
Last updated
07/12/2024
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