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Individual

JONI P TODHUNTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
1100 GRAMPIAN BLVD, 4 SOUTH, WILLIAMSPORT, PA 17701-1909
(570) 320-7690
(570) 320-7898
Mailing address
1100 GRAMPIAN BLVD, 4 SOUTH, WILLIAMSPORT, PA 17701-1909
(570) 320-7690
(570) 320-7898

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN293217L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1015971660001
PA
Enumeration date
03/13/2007
Last updated
07/08/2007
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