Individual
MRS. CONSTANCE S COVERDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
24016 BRITTON RUN RD, SPARTANSBURG, PA 16434-2712
(814) 694-3468
(814) 455-9440
Mailing address
24016 BRITTON RUN RD, SPARTANSBURG, PA 16434-2712
(814) 694-3468
(814) 455-9440
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN285491
PA
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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