Individual
CHRISTIAN REA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 BURRUS BLVD STE 130, BRODHEADSVILLE, PA 18322-7812
(570) 992-4400
Mailing address
120 BURRUS BLVD STE 130, BRODHEADSVILLE, PA 18322-7812
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
TE1003877
PA
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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