Individual
MARIA MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
321 MAIN ST STE 4F, JOHNSTOWN, PA 15901-1632
(814) 254-4905
(814) 266-2880
Mailing address
600 BROADWAY ST, BERLIN, PA 15530-1005
(814) 521-8923
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN295939
PA
Other
Enumeration date
01/22/2020
Last updated
06/08/2022
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