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Individual

TERESA A HOGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
67 WHITE DOGWOOD DR, ETTERS, PA 17319-9570
(717) 424-2508
Mailing address
67 WHITE DOGWOOD DR, ETTERS, PA 17319-9570
(717) 424-2508

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000000000
NOT APPLICABLE
Enumeration date
03/07/2022
Last updated
03/07/2022
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