Individual
ELENI DIMITRIADIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1183 JACKS RUN RD, NORTH VERSAILLES, PA 15137-2725
(412) 349-6708
Mailing address
1183 JACKS RUN RD, NORTH VERSAILLES, PA 15137-2725
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
RN744918
PA
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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