Individual
NANCY PIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 COURTRIGHT ST, WILKES BARRE, PA 18702-2526
(570) 819-4225
(570) 819-4226
Mailing address
300 COURTRIGHT ST, WILKES BARRE, PA 18702-2526
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OC009492
PA
Other
Enumeration date
06/23/2009
Last updated
10/23/2014
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