Individual
CAROLYN R MICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7333 W RIDGE RD, FAIRVIEW, PA 16415-1169
(814) 897-3348
Mailing address
7333 W RIDGE RD, PO BOX 56, FAIRVIEW, PA 16415-1169
(814) 897-3348
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
6686
KY
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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