Individual
KAYLA HAUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 MARKET STREET, 2ND FLOOR, LEWISBURG, PA 17837
(570) 524-0900
Mailing address
1325 SOUTHCREEK RD, ALLENWOOD, PA 17810-9129
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
9991352
PA
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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