Individual
SHAUNA LANDREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 E PARK AVE, STATE COLLEGE, PA 16803-6709
(603) 499-3494
Mailing address
1800 E PARK AVE, STATE COLLEGE, PA 16803-6709
(603) 499-3494
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA057729
PA
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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