Individual
ILEANA ASANACHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 E LAUREL BLVD, POTTSVILLE, PA 17901
(570) 622-1959
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP015975
PA
Other
Enumeration date
03/30/2016
Last updated
08/09/2018
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