Provider Demographics
NPI:1104158310
Name:TRAMBLEY, MARLENE CLARA (PHD)
Entity type:Individual
Prefix:DR
First Name:MARLENE
Middle Name:CLARA
Last Name:TRAMBLEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1702 E 38TH ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16510-3466
Mailing Address - Country:US
Mailing Address - Phone:814-455-9629
Mailing Address - Fax:814-456-7972
Practice Address - Street 1:1702 E 38TH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16510-3466
Practice Address - Country:US
Practice Address - Phone:814-455-9629
Practice Address - Fax:814-456-7972
Is Sole Proprietor?:No
Enumeration Date:2010-02-12
Last Update Date:2010-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP441213183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist