Individual
MARY MARGARET RAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
219 S 4TH ST, WEST NEWTON, PA 15089-1315
(724) 872-6727
Mailing address
219 S 4TH ST, WEST NEWTON, PA 15089-1315
(724) 872-6727
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
Primary
RN-271519L
PA
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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