Individual
TIARRA M MATEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2763 LITITZ PIKE, LANCASTER, PA 17601-3319
(717) 615-6524
Mailing address
2763 LITITZ PIKE, LANCASTER, PA 17601-3319
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN310198
PA
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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