Individual
MARY VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 DUNHAM DR, DUNMORE, PA 18512-2666
(570) 687-0589
Mailing address
1000 DUNHAM DR, DUNMORE, PA 18512-2666
(570) 687-0589
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN232653L
PA
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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