Individual
CONNIE LOU GENTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 E MAIN ST, SOMERSET, PA 15501-2024
(724) 875-7877
Mailing address
125 ASHTON DR, MOUNT PLEASANT, PA 15666-2164
(724) 875-7877
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
85523601
PA
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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