Individual
CARMEN DELIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
133 N MAIN ST, WILKES BARRE, PA 18701-2007
(570) 954-6286
Mailing address
133 N RIVER ST, WILKES BARRE, PA 18711-0800
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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