Individual
MARY SPINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 534-5585
Mailing address
PO BOX 708760, SANDY, UT 84070-8760
(801) 352-9500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP017953
PA
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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