Individual
ANNETTE KUBALEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1265 WAYNE AVE STE 103, INDIANA, PA 15701-3501
(724) 463-1048
Mailing address
2255 PHILADELPHIA ST, INDIANA, PA 15701-1595
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP017023
PA
Other
Enumeration date
01/16/2017
Last updated
11/17/2020
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