Individual
CHARLES BOBINIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14 N FRONT ST, MINERSVILLE, PA 17954-1435
(570) 399-5344
Mailing address
14 N FRONT ST, MINERSVILLE, PA 17954-1435
(570) 399-5344
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN275757
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27971578
DRIVERS LICENSE
PA
Enumeration date
10/05/2015
Last updated
10/05/2015
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