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Individual

MRS. ANNE E LEIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
6-16 ROCKY MOUNTAIN DR N, EFFORT, PA 18330-8912
(570) 620-1311
(570) 620-1311
Mailing address
6-16 ROCKY MOUNTAIN DR N, EFFORT, PA 18330-8912
(570) 620-1311
(570) 620-1311

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
181398L
PA

Other

Enumeration date
07/12/2010
Last updated
07/12/2010
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