Individual
RYAN LIVELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 HUNTER LN, CAMP HILL, PA 17011-2400
(800) 748-3243
Mailing address
30 HUNTER LN, CAMP HILL, PA 17011-2400
(800) 748-3243
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95220169
CA
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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