Marlon Dimayuga

NPI 1538562913 · on the registry since 2014

Practice

Address: 867 York Rd
Gettysburg, PA 17325
Phone: (717) 338-5106
Organisation at this address: 867 York Road Opco, Llc
Gettysburg Operations Llc
867 York Road Operations Llc
Gettysburg Retirement Community D/B/A The Shepherd'S Choice
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 31

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-09-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania