Individual
NORBY N/A SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 WILLOW VALLEY LAKES DR, WILLOW STREET, PA 17584-9668
(717) 740-4434
Mailing address
212 WILLOW VALLEY LAKES DR, WILLOW STREET, PA 17584-9668
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN272251
PA
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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