Individual
KILANA F LIVINGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
309 E 4TH ST, ERIE, PA 16507-1605
(814) 456-4180
Mailing address
309 EAST 4TH ST, ERIA, PA 16507
(814) 456-4180
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN282778
PA
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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