Individual
MARTINA STRAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1158 PRESTON PL, SCRANTON, PA 18504-2529
(570) 969-0529
Mailing address
1158 PRESTON PL, SCRANTON, PA 18504-2529
(570) 969-0529
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN091045L
PA
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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