Individual
JODY LIN MRAKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1100 SPRING GARDEN DR, MIDDLETOWN, PA 17057-3257
(717) 985-9091
(717) 985-6909
Mailing address
1100 SPRING GARDEN DR STE 3, MIDDLETOWN, PA 17057-3257
(717) 985-9091
(717) 985-6909
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA001689L
PA
363AM0700X
Medical Physician Assistant
Primary
MA001689L
PA
363AM0700X
Medical Physician Assistant
OA000187L
PA
Other
Enumeration date
04/28/2006
Last updated
09/28/2022
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