Individual
MONIQUE ROSE ZACHERL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3676 N HERMITAGE RD, TRANSFER, PA 16154-1852
(330) 726-0700
Mailing address
3676 N HERMITAGE RD, TRANSFER, PA 16154-1852
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN290721
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164W00000X
—
PA
Enumeration date
09/28/2018
Last updated
09/28/2018
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