Individual
PATRICK DEAN HOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
206 WATER STREET, DUSHORE, PA 18614-0001
(570) 928-8163
(570) 928-8116
Mailing address
PO BOX 1, 206 WATER ST, DUSHORE, PA 18614-0001
(570) 928-8163
(570) 928-8116
Taxonomy
Speciality
Code
Description
License number
State
176P00000X
Funeral Director
Primary
011975-L
PA
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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