Individual
MRS. DEBRA KAY MIHALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
515 FAIRVIEW ST, AVIS, PA 17721-9073
(570) 419-0391
Mailing address
515 FAIRVIEW ST, P.O. BOX 799, AVIS, PA 17721-9073
(570) 419-0391
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN259436L
PA
Other
Enumeration date
04/28/2010
Last updated
04/28/2010
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