Organization
AVOLIO CORPORATION
Active
Other names
ARLINGTON MEDICAL NUTRITION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JO KRAMER LPN (NURSE OWNER)
(724) 523-6488
Entity
Organization
Contact information
Practice address
621 N. 4TH ST, SUITE 300, JEANNETTE, PA 15644-1750
(724) 523-6488
(724) 523-6680
Mailing address
621 N. 4TH ST, SUITE 300, JEANNETTE, PA 15644-1750
(724) 523-6488
(724) 523-6680
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
164W00000X
Licensed Practical Nurse
PN072007L
PA
261QH0100X
Health Service Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000R598
UPMC
PA
01
—
1045130
AETNA HEALTH MANAGEMENT,
PA
01
—
78676
HEALTH ASSURANCE
PA
Enumeration date
12/20/2006
Last updated
05/31/2024
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