Individual
JUDITH MAE WENTZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
114 SKYLINE LN, BUTLER, PA 16001-8762
(724) 283-3198
Mailing address
861 SUNSET CIR, CRANBERRY TOWNSHIP, PA 16066-6767
(724) 452-6934
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OC003781L
PA
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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