Individual
DARLENE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
565 W PENN PIKE, TAMAQUA, PA 18252-5673
(570) 225-0354
Mailing address
565 W PENN PIKE, TAMAQUA, PA 18252-5673
(570) 225-0354
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
405404
PA
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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