Individual
JUAN CARLO SALVANIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
545 N RIVER ST STE 240, WILKES BARRE, PA 18702-2643
(570) 706-2620
Mailing address
193 KINGSWOOD DR, DALLAS, PA 18612-1432
(732) 632-7529
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP024967
PA
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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