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Individual

DR. JOHANNA LEAH GARLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
1281 RTE 113, BLOOMING GLEN, PA 18911-0027
(215) 257-3938
(215) 257-3646
Mailing address
PO BOX 27, 1281 RTE 113, BLOOMING GLEN, PA 18911-0027
(215) 257-3938
(215) 257-3646

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC008808
PA
171100000X
Acupuncturist
AC000968

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1538732
BLUE CROSS BLUE SHIELD
PA
01
2223241000
KEYSTONE
PA
01
7951576
AETNA
PA
01
8481406
CIGNA
PA
Enumeration date
03/10/2006
Last updated
10/28/2015
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