Individual
MARLA JEAN DICANIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA, STNA, LPN
Contact information
Practice address
1000 MASONIC DR, SEWICKLEY, PA 15143-2328
(412) 741-1400
Mailing address
PO BOX 401, HOOKSTOWN, PA 15050-0401
(724) 573-0886
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
159420-1
NY
376K00000X
Nurse's Aide
Primary
10065352
PA
376K00000X
Nurse's Aide
401633600414
OH
Other
Enumeration date
02/27/2015
Last updated
03/06/2015
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