Individual
DR. IDA MARIE KRAVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
834 DEMUNDS RD, DALLAS, PA 18612-6203
(570) 371-7798
Mailing address
834 DEMUNDS RD, DALLAS, PA 18612-6203
(570) 371-7798
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
010702
PA
Other
Enumeration date
10/15/2010
Last updated
01/26/2019
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