Individual
REBECCA LYNN VANDYKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3707 MAIN ST, ERIE, PA 16511-2742
(814) 877-6121
Mailing address
3707 MAIN ST, ERIE, PA 16511-2742
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 286743
PA
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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