Individual
EMYLEE ALEAH WATERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2251 EASTERN BLVD, YORK, PA 17402-2917
(717) 840-2730
(717) 840-2741
Mailing address
2251 EASTERN BLVD, YORK, PA 17402-2917
(717) 840-2730
(717) 840-2741
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN292981
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29042584
PA DRIVERS LICENSE
PA
Enumeration date
04/03/2019
Last updated
04/03/2019
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