Individual
GLORIA JEAN HENTZ-KALNOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3030 CHESTNUT ST, LEBANON, PA 17042-2518
(717) 273-8000
Mailing address
864 JAY ST, LEBANON, PA 17046-1924
(717) 507-6250
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN093822L
PA
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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