Individual
NANCY A GENTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
467 E 17TH ST, HAZLE TOWNSHIP, PA 18201-2007
(570) 454-2273
Mailing address
467 E 17TH ST, HAZLE TOWNSHIP, PA 18201-2007
(570) 454-2273
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
202275977
PA
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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