Individual
MICHELLE E VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10 LIBERTY LN, LATROBE, PA 15650-2772
(724) 552-3358
Mailing address
10 LIBERTY LN, LATROBE, PA 15650-2772
(724) 552-3358
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA055876
PA
Other
Enumeration date
12/04/2012
Last updated
01/06/2016
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