Individual
AGNES PAGADORA CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 N FRONT ST, WORMLEYSBURG, PA 17043-1034
(717) 731-0101
(717) 441-0706
Mailing address
1000 N FRONT ST, WORMLEYSBURG, PA 17043-1034
(717) 731-0101
(717) 441-0706
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
SP008573
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP008573
LICENSE NUMBER
PA
Enumeration date
10/12/2006
Last updated
08/08/2007
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