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Individual

CHARON GIST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
120 MERCHANT ST, AMBRIDGE, PA 15003-2112
(724) 318-8229
(724) 385-0690
Mailing address
120 MERCHANT ST, AMBRIDGE, PA 15003-2112
(724) 318-8229
(724) 385-0690

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
376J00000X
Homemaker
Primary
376K00000X
Nurse's Aide

Other

Enumeration date
09/17/2018
Last updated
09/17/2018
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