Individual
MARIA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10155 NEW RD, NORTH EAST, PA 16428-6057
(814) 725-3584
Mailing address
10155 NEW RD, NORTH EAST, PA 16428-6057
(814) 725-3584
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN029164L
PA
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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