Individual
CAROL DOREEN TEACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
1001 LIGONIER ST, LATROBE, PA 15650-1832
(724) 537-0760
Mailing address
1001 LIGONIER ST, LATROBE, PA 15650-1832
(724) 537-0760
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN178245L
PA
Other
Enumeration date
04/12/2010
Last updated
04/12/2010
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