Individual
MARCI JOAN SAMPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3482 BUCK RUN RD, FRENCHVILLE, PA 16836-7914
(814) 205-2083
Mailing address
3482 BUCK RUN RD, FRENCHVILLE, PA 16836-7914
(814) 205-2083
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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