Individual
MRS. ELAINE MARIE WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
34 CREST VIEW DR, EAST BERLIN, PA 17316-9506
(717) 259-9448
Mailing address
34 CREST VIEW DR, EAST BERLIN, PA 17316-9506
(717) 259-9448
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN068723L
PA
Other
Enumeration date
02/06/2009
Last updated
02/06/2009
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