Individual
RAVEN TROUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
321 ROUTE 66, LEECHBURG, PA 15656-8279
(724) 845-6755
Mailing address
300 S JEFFERSON ST, KITTANNING, PA 16201-2416
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN294029
PA
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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