Individual
MARY LOUISE DEPIETRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 MONAHAN AVE, DUNMORE, PA 18512-1700
(570) 241-0359
Mailing address
118 MONAHAN AVE, DUNMORE, PA 18512-1700
(570) 241-0359
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN102636L
PA
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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