Individual
MS. MARY ANN MAZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1137 W 8TH ST, ERIE, PA 16502-1110
(814) 459-1167
(814) 455-9440
Mailing address
1137 W 8TH ST, ERIE, PA 16502-1110
(814) 459-1167
(814) 455-9440
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN063667-L
PA
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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