Individual
KIMBERLY LEGROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2907 PLEASANT VALLEY BLVD, ALTOONA, PA 16602-4305
(814) 943-8164
Mailing address
2907 PLEASANT VALLEY BLVD, ALTOONA, PA 16602-4305
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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