Individual
DIANGELA DEAN PRUNESTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
120 LOCUST AVE EXT, MOUNT MORRIS, PA 15349-1355
(724) 324-9001
(724) 324-9005
Mailing address
120 LOCUST AVE EXT, MOUNT MORRIS, PA 15349-1355
(724) 324-9001
(724) 324-9005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
91066
SC
207R00000X
Internal Medicine Physician
OS018454
PA
Other
Enumeration date
04/16/2013
Last updated
10/18/2024
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