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Individual

CAMELLIA ANN HERISKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3811 OHARA ST, PITTSBURGH, PA 15213-2593
(412) 246-5088
Mailing address
3811 OHARA ST, PITTSBURGH, PA 15213-2593

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN273839L
PA

Other

Enumeration date
10/15/2009
Last updated
10/15/2009
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