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Individual

MISS CARMEN MARIE HOPE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
605 EYNON ST, SCRANTON, PA 18504-3505
(570) 447-9110
Mailing address
605 EYNON ST, SCRANTON, PA 18504-3505
(570) 447-9110

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
OA005369
PA
363AM0700X
Medical Physician Assistant
Primary
MA061894
PA

Other

Enumeration date
12/10/2020
Last updated
12/10/2020
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