Individual
BYRON GENTZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
63 LUPOLD LN, LOGANTON, PA 17747-9189
(570) 295-0026
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN272248
PA
Other
Enumeration date
02/24/2010
Last updated
02/24/2010
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