Individual
DIANA PACKECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 E CHESTNUT AVE, ALTOONA, PA 16601-5215
(814) 946-0414
(814) 943-6198
Mailing address
201 CHESTNUT AVE, ALTOONA, PA 16601-4927
(814) 946-5411
(814) 940-8471
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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