Individual
MRS. LYDIA BETH TISSUE HARNISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1942 SHADY OAK DR, MOUNT JOY, PA 17552-9784
(301) 964-0431
Mailing address
1942 SHADY OAK DR, MOUNT JOY, PA 17552-9784
(301) 964-0431
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN695664
PA
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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