Individual
DAVID LEONARD ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
118 MONAHAN AVE, DUNMORE, PA 18512-1700
(570) 344-5327
Mailing address
118 MONAHAN AVE, DUNMORE, PA 18512-1700
(570) 344-5327
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
091186
PA
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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