Individual
FARRAH JEAN ROBERTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
746 JEFFERSON AVE, SCRANTON, PA 18510-1624
(570) 687-5143
Mailing address
466 BENNETT ST, 2ND FLOOR, LUZERNE, PA 18709-1553
(570) 687-5143
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN279056
PA
Other
Enumeration date
05/31/2013
Last updated
05/31/2013
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