Individual
LARUE GRETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
640 WALNUT ST, SUITE 303, READING, PA 19601-3504
(610) 208-8860
(610) 208-8861
Mailing address
PO BOX 13993, READING, PA 19612-3993
(610) 378-2400
(610) 208-8828
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
296113L
PA
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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