Individual
MARLY GAVIRIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
101 S 17TH ST, ALLENTOWN, PA 18104-6704
(610) 739-8820
Mailing address
2927 CHARLOTTE AVE, EASTON, PA 18045-3734
(610) 739-8820
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR13445700
NJ
163W00000X
Registered Nurse
Primary
RN589495
PA
Other
Enumeration date
11/16/2009
Last updated
11/16/2009
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