ANDIE ELISABETH DIVITA

FRISCO, TX
NPI1790247435
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA12733)
Enumeration Date2019-04-02
Last Update Date2019-04-02
Business Address
ANDIE ELISABETH DIVITA PA-C
5550 WARREN PKWY STE 200
FRISCO, TX 75034-7398
Phone number: 214-755-0066
Mailing Address
ANDIE ELISABETH DIVITA PA-C
1309 MARWOOD CT
ALLEN, TX 75013-7069
Phone number: 214-755-0066
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