Individual
MARIA ALLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 E END BLVD, WILKES BARRE, PA 18711-0030
(570) 824-3521
Mailing address
133 ESPY ST, NANTICOKE, PA 18634-4303
(570) 417-1461
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN303576
PA
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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