Individual
TANIA MARIE GUTEKUNST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
218 GUILFORD ST, LEBANON, PA 17046-3855
(717) 813-7382
Mailing address
218 GUILFORD ST, LEBANON, PA 17046-3855
(717) 813-7382
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
4920052
PA
Other
Enumeration date
04/14/2007
Last updated
07/08/2007
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