Individual
DIANE A HANLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PFT, CHC
Contact information
Practice address
54 N MOUNTAIN BLVD, MOUNTAIN TOP, PA 18707-1117
(570) 814-9212
Mailing address
54 N MOUNTAIN BLVD, MOUNTAIN TOP, PA 18707-1117
(570) 814-9212
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
02/06/2022
Last updated
02/06/2022
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