Individual
MISS MELISSA MAY BAER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
115 N CENTRE AVE, LEESPORT, PA 19533-8819
(484) 650-2058
Mailing address
115 N. CENTRE AVE, LEESPORT, PA 19533
(484) 650-2058
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN281966
PA
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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