Individual
RHONDA VANLOAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
510 FAIGLE RD BLDG D, STARLIGHT, PA 18461-1109
(607) 644-5071
Mailing address
510 FAIGLE RD BLDG D, STARLIGHT, PA 18461-1109
(607) 644-5071
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
271479
NY
Other
Enumeration date
09/06/2017
Last updated
09/06/2017
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