Individual
TAL LEVIN-DECANINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
COMPLEX CARE CLINIC, 4401 PENN AVE, PITTSBURGH, PA 15224
(412) 692-7644
Mailing address
6617 WOODWELL ST, PITTSBURGH, PA 15217-1320
(773) 450-8703
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP019169
PA
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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