Individual
BRENDA DOTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 TIMBERLANE DR, BANGOR, PA 18013-9406
(610) 588-6000
(610) 588-5582
Mailing address
101 TIMBERLANE DR, BANGOR, PA 18013-9406
(610) 588-6000
(610) 588-5582
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
11323601
PA
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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