Individual
CHARMAINE E DAVIS BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
710 AVENUE C, STROUDSBURG, PA 18360-1957
(570) 801-0801
Mailing address
710 AVENUE C, STROUDSBURG, PA 18360-1957
Taxonomy
Speciality
Code
Description
License number
State
282J00000X
Religious Nonmedical Health Care Institution
Primary
00000000000
PA
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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