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Individual

MRS. DIANNE SNAVELY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1700 S LINCOLN AVE, LEBANON, PA 17042-7529
(717) 272-6621
Mailing address
631 GAP ST, HEGINS, PA 17938-9041

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN304535L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16
STATE
PA
Enumeration date
05/28/2008
Last updated
05/28/2008
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