Individual
DONNA KAYE LISTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
161 RIEMER RD, SARVER, PA 16055-1803
(724) 524-1297
Mailing address
161 RIEMER RD, SARVER, PA 16055-1803
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN509156L
PA
Other
Enumeration date
07/06/2008
Last updated
07/06/2008
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