Individual
MR. CARMEN ATTANASIO IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
25 CHURCH ST, WILKES BARRE, PA 18702-3507
(570) 808-2514
Mailing address
301 COURTDALE AVE, COURTDALE, PA 18704-1137
(570) 301-3045
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN566631
PA
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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