Individual
GORDANA AVDICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1626 BIEBEL AVE, ERIE, PA 16509-2806
(814) 866-8096
Mailing address
1626 BIEBEL AVE, ERIE, PA 16509-2806
(814) 866-8096
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN281344
PA
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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