Individual
CORINA JUTTA CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 MONAHAN AVE, DUNMORE, PA 18512-1700
(570) 241-0359
Mailing address
118 MONAHAN AVE, DUNMORE, PA 18512-1700
(570) 241-0359
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN309184
PA
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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