Individual
DEBORAH MARIA TROUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSL
Contact information
Practice address
420 COWPATH RD, SOUDERTON, PA 18964-2036
(267) 203-1500
Mailing address
757 INDIAN FIELD LN, TELFORD, PA 18969-2457
(267) 203-1500
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
BH003025
PA
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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