Individual
MS. GINA LOUISE KIELBASA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
975 HIDDEN HOLLOW DR, GAP, PA 17527-9561
(717) 442-1251
Mailing address
975 HIDDEN HOLLOW DR, GAP, PA 17527-9561
(717) 442-1251
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN256247L
PA
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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