Individual
CARISSA J HOUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1165 PARK AVE, WILLIAMSPORT, PA 17701-4681
(570) 506-3426
Mailing address
1165 PARK AVE, WILLIAMSPORT, PA 17701-4681
(570) 506-3426
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
21-196446
PA
Other
Enumeration date
01/09/2022
Last updated
01/09/2022
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