Individual
MARY M PROROK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 MAPLE HOLLOW RD, DUNCANSVILLE, PA 16635-7920
(814) 693-2273
Mailing address
125 MAPLE HOLLOW RD, DUNCANSVILLE, PA 16635-7920
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN245597L
PA
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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