Individual
GINA TALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
166 HANOVER ST, WILKES BARRE, PA 18702-3540
(570) 808-5674
(570) 808-8785
Mailing address
166 HANOVER ST, WILKES BARRE, PA 18702-3540
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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