BRENDA STACK, NP
Physician Assistant at Colonial Dr, Towanda, PA

License number
Pennsylvania SP013188
Category
Nursing
Type
Nurse Practitioner
License number
Pennsylvania SP013188
Category
Physician Assistant
Type
Family Health
Address
Address 2
132 Colonial Dr, Towanda, PA 18848
1 Guthrie Sq, South Waverly, PA 18840
Phone
(570) 265-6165
(570) 265-3616 (Fax)
(570) 888-5858
National Provider ID: 1164851259
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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