MARTENE JACQUELINE IMBODEN

FOUNTAIN HILL, PA
NPI1992212708
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: PA  MA059556)
Enumeration Date2018-01-02
Last Update Date2018-01-08
Business Address
MARTENE JACQUELINE IMBODEN PAC
701 OSTRUM ST STE 603
FOUNTAIN HILL, PA 18015-1184
Phone number: 484-526-3990
Mailing Address
MARTENE JACQUELINE IMBODEN PAC
701 OSTRUM ST STE 603
FOUNTAIN HILL, PA 18015-1184
Phone number: 484-526-3990