Individual
JOELLE L MUGGEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MPAS
Contact information
Practice address
334 MAIN ST, DICKSON CITY, PA 18519-1668
(570) 307-1767
Mailing address
334 MAIN ST, DICKSON CITY, PA 18519-1668
(570) 307-1767
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
1012641
—
363AM0700X
Medical Physician Assistant
Primary
MA057422
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA057422
STATE LICENSE
PA
Enumeration date
02/16/2007
Last updated
05/13/2022
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