Individual
DIXIE TOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
300 S JEFFERSON ST, KITTANNING, PA 16201-2416
(724) 543-2941
Mailing address
108 HARDING ST, KITTANNING, PA 16201-2126
(724) 543-6111
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 125747
PA
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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