Individual
KELLY LAURA FRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 BROAD ST, JOHNSTOWN, PA 15906-2745
(814) 535-6000
Mailing address
401 BROAD ST, JOHNSTOWN, PA 15906-2745
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
293111
PA
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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