Individual
KIM SOBOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 MARKET STREET, LEWISBURG, PA 17837
(570) 524-0900
Mailing address
214 RED HILL LANE, SHAMOKIN, PA 17872
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
9960273
PA
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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