Individual
NANCY WALLROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
313 NORTH STREET, WEST MIDDLESEX, PA 16159
(724) 528-2513
Mailing address
150 CHRISTIAN AVE, HUBBARD, OH 44425-2008
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA001620L
PA
Other
Enumeration date
02/10/2006
Last updated
03/29/2021
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