Individual
TINA BISTARKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, PLYMOUTH MEETING, PA 19462-1047
(800) 879-4471
Mailing address
3374 MILLERS RUN RD, CECIL, PA 15321-1139
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
9313176
PA
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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