Individual
ERIC BALAREZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2141 OREGON PIKE, LANCASTER, PA 17602-4604
(717) 617-2708
Mailing address
1115 NORFOLK ROAD, TOBYHANNA, PA 18466
(973) 931-1679
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN310775
PA
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
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