Individual
TRISHA KELLER
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
1850 8TH STREET DR, WATSONTOWN, PA 17777-8010
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
9974908
PA
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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