ADRIANA DISTANISLAO

STATE COLLEGE, PA
NPI1497181416
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: PA  MA056368)
Enumeration Date2013-09-23
Last Update Date2017-07-27
Business Address
-- ADRIANA DISTANISLAO PA-C
1850 E PARK AVE STE 312
STATE COLLEGE, PA 16803-6706
Phone number: 814-237-6600
Mailing Address
-- ADRIANA DISTANISLAO PA-C
501 S 54TH ST
PHILADELPHIA, PA 19143-1900
Phone number:
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