Individual
MARYBETH THERESA AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N
Contact information
Practice address
2250 HICKORY RD, SUITE240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
(610) 834-7525
Mailing address
RR 4 BOX 4482, MOSCOW, PA 18444-9221
(570) 842-3622
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
PN-152127-L
PA
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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