Individual
KRISTINA FAYE GUNSOLUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
179 MAIN ST, ELDRED, PA 16731-4519
(814) 331-6989
Mailing address
PO BOX 52, ELDRED, PA 16731-0052
(814) 331-6989
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
310354-01
NY
Other
Enumeration date
08/14/2023
Last updated
09/12/2023
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