Individual
GINA MARIE COLANTUONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
40 DILWORTH RD, MILLERSVILLE, PA 17551
(717) 871-4636
Mailing address
40 DILWORTH RD, MILLERSVILLE, PA 17551
(717) 871-4636
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GFD80061653803
CAPITAL BLUE CROSS
PA
Enumeration date
12/15/2022
Last updated
12/15/2022
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