Individual
GERALDINE M CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2121 RUNNING DEER DR, AUBURN, PA 17922-9361
(570) 640-1607
Mailing address
2121 RUNNING DEER DR, AUBURN, PA 17922-9361
(570) 640-1607
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
83445881
PA
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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