Individual
MRS. DIANE J. SMYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1288 VALLEY FORGE RD, UNIT 69, PHOENIXVILLE, PA 19460-2687
(610) 933-9483
(610) 933-4080
Mailing address
127 PINE LN, DOUGLASSVILLE, PA 19518-1314
(610) 385-3864
(610) 933-4080
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN070999L
PA
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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