Individual
TERESA MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
511 GLADIOLA DR, CLARKS SUMMIT, PA 18411-2115
(570) 586-7883
Mailing address
511 GLADIOLA DR, CLARKS SUMMIT, PA 18411-2115
(570) 586-7883
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN074160L
PA
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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