Individual
KATHY DOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 MARKET ST, LEWISBURG, PA 17837-3002
(570) 524-0900
Mailing address
PO BOX 76, NEW BERLIN, PA 17855-0076
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
9605930
PA
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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