Female

Victoria D. Puckett PA-C

Physician Assistant in Youngstown, OH(View on Map)

Full Name

Victoria Danielle Puckett PA-C

NPI Number

1598249765

NPI Type

Individual Provider

Gender

Female

Enumeration Date

09/24/2018

Specialties

(Taxonomies)

Code

363A00000X
363AS0400X

Primary Taxonomy

Yes
No

Licenses

State

Ohio

License Number

50.006282RX

Contact
Information

Purpose

Mailing
Location

Address

1001 BELMONT AVE
1001 BELMONT AVE

City

Youngstown
Youngstown

State

OH
OH

Postal Code

44504-1003
44504-1003

Country

US
US

Telephone Number

(330) 747-6446
(330) 747-6446

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/03/2020

Provider Address

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