Individual
KATHLEEN A WEISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3503 HAZEL ST, ERIE, PA 16508-2634
(814) 403-4064
Mailing address
3503 HAZEL ST, ERIE, PA 16508-2634
(814) 403-4064
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN091331L
PA
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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