Individual
KATHY VINCIARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
REAR 307 LAIRD ST, WILKES BARRE, PA 18702
(570) 408-9320
Mailing address
REAR 307 LAIRD ST, WILKES BARRE, PA 18702
(570) 408-9320
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN061829L
PA
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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