Individual
MARY A AMICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
640 MADISON AVE, SCRANTON, PA 18510-1631
(570) 826-1777
(570) 823-3040
Mailing address
15 PUBLIC SQ STE 600, WILKES BARRE, PA 18701-1704
(570) 826-1777
(570) 823-3040
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN684272
PA
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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