Individual
TIFFANY PONGRACZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3990 CHARLES DRIVE, DANIELSVILLE, PA 18038
(484) 695-1640
Mailing address
3990 CHARLES DRIVE, DANIELSVILLE, PA 18038
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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