Individual
LETESHA DUNLAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
241 E 22ND ST, ERIE, PA 16503-1926
(814) 218-5978
Mailing address
241 E 22ND ST, ERIE, PA 16503-1926
(814) 218-5978
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN283024
PA
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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