Individual
CECELIA RAE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
775 NORMAN DR, LEBANON, PA 17042-7497
(717) 274-5500
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA062866
PA
Other
Enumeration date
10/28/2021
Last updated
10/14/2022
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