Individual
MRS. TERRIE LYNN RASTOVAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
913 E OAK ST, PALMYRA, PA 17078-2820
(717) 838-2407
Mailing address
913 E OAK ST, PALMYRA, PA 17078-2820
(717) 838-2407
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN264132
PA
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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