person
Jordania Grullon, PA-C
Medical Physician Assistant in Hazle Township, Pennsylvania
NPI 1679298400

Jordania Grullon is a Medical Physician Assistant based in Hazle Township, PA and is specialized in Medical. Jordania Grullon practices in Hazle Township, PA and has the professional credentials of PA-C. The NPI Number for Jordania Grullon is 1679298400 and holds a License No. MA064032 (Pennsylvania).

The current practice location address for Jordania Grullon is 10 Park Pl, Hazle Township, PA and can be reached out via phone at 570-454-1400.

Location: 10 Park Pl, Hazle Township, PA, 18202-2885
person
Provider Profile Details
NPI Number
1679298400
Provider Name
Jordania Grullon
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
10 Park Pl, Hazle Township, PA, 18202-2885
Phone Number
570-454-1400
Fax Number
Provider Enumeration Date
10/04/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10 Park Pl
City
State
Zip
18202-2885
Phone Number
570-454-1400
Fax Number
person
Provider Business Mailing Address Details
Address
10 Park Pl
City
State
Zip
18202-2885
Phone Number
570-454-1400
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
MA064032 (Pennsylvania)
Definition
Definition to come...
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