Individual
ALLISON SARA DORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
415 GRANT ST, MERCER, PA 16137-1307
(724) 893-6024
Mailing address
415 GRANT ST, MERCER, PA 16137-1307
(724) 893-6024
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN301977
PA
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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