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Individual

MELISSA A BOCCOLINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
110 S PENNSYLVANIA AVE, WILKES BARRE, PA 18701-3301
(570) 552-6000
Mailing address
758 METCALF ST, WILKES BARRE, PA 18702-7508

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN508038L
PA

Other

Enumeration date
07/15/2006
Last updated
07/08/2007
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