Individual
MS. REBECCA MAZURIK-CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
1220 N FRONT ST APT 2, MILTON, PA 17847-9648
(570) 556-6954
Mailing address
1220 N FRONT ST APT 2, MILTON, PA 17847-9648
(570) 556-6954
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
09620562
PA
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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