Individual
SANDRA RAE LLEWELLYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
920 WILKES BARRE TOWNSHIP BLVD, WILKES BARRE, PA 18702-6162
(570) 823-8730
Mailing address
11 EVERGREEN DR, TUNKHANNOCK, PA 18657-2012
(570) 209-2315
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN521998L
PA
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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