Individual
DARLENE WESLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1818 W 36TH ST, ERIE, PA 16508-2116
(814) 217-1932
Mailing address
1818 W 36TH ST, ERIE, PA 16508-2116
(814) 217-1932
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN94851L
PA
Other
Enumeration date
02/25/2014
Last updated
02/25/2014
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