Individual
MRS. MARIA REVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUD-CCC-A
Contact information
Practice address
190 WELLES ST, FORTY FORT, PA 18704-4968
(570) 283-0524
(570) 283-0302
Mailing address
190 WELLES ST, FORTY FORT, PA 18704-4968
(570) 283-0524
(570) 283-0302
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AT006089
PA
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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