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Individual

KRISTA LEANN SLUSAREK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(800) 879-4471
Mailing address
58 VIRDEN HEIGHTS DR, NEW CUMBERLAND, WV 26047-3139
(304) 387-2615

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
PN.132212
OH
164W00000X
Licensed Practical Nurse
Primary
PN280877
PA

Other

Enumeration date
06/25/2009
Last updated
06/25/2009
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