Individual
CHARMALENE REX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 BROAD ST, JOHNSTOWN, PA 15906-2716
(814) 535-6000
Mailing address
543 VICKROY AVE, JOHNSTOWN, PA 15905-3930
(814) 341-7040
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN602416
PA
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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