Individual
MARLIN KEENE BIXLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
300 LACKAWANNA AVE STE 150, SCRANTON, PA 18503-2001
(570) 703-7493
(570) 703-7119
Mailing address
218 MOOSIC HTS, AVOCA, PA 18641-9510
(570) 703-7493
(570) 703-7119
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
CHT3984
—
164W00000X
Licensed Practical Nurse
Primary
PN267643
PA
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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