Individual
DIANNE RENE PETROCELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7916 WINCHESTER AVE, INWOOD, WV 25428-4066
(304) 229-0935
(304) 229-5790
Mailing address
109 OFLANNERY CT, MARTINSBURG, WV 25403-1318
(412) 445-6549
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
19422
MD
183500000X
Pharmacist
Primary
RP0007321
WV
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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