Individual
NICOLE MARIE TOMASURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N WILKES BARRE BLVD STE 103, WILKES BARRE, PA 18702-5240
(570) 899-0015
Mailing address
15 CENTURY BLVD STE 307, NASHVILLE, TN 37214-3692
(570) 846-2720
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
16937
PA
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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