Individual
HANNAH CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
227 ROSE CT N, DELMONT, PA 15626-1555
(724) 989-9998
Mailing address
227 ROSE CT N, DELMONT, PA 15626-1555
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
OC013939
PA
Other
Enumeration date
06/26/2015
Last updated
06/26/2015
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