Individual
AUDRA VITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2141 OREGON PIKE, LANCASTER, PA 17601-4604
(717) 617-2706
Mailing address
21 ATWELL DR, DUPONT, PA 18641-1959
(570) 313-8352
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN152291L
PA
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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