Individual
VINCENT CLEVELAND DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
575 N RIVER ST, WILKES BARRE, PA 18764-0999
(570) 829-8111
Mailing address
628 PROSPECT AVE APT 3, SCRANTON, PA 18505-1842
(917) 854-8125
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
148206
PA
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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