Individual
DIANE PESSOLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
177 MAYLUTH RD, JOHNSTOWN, PA 15904-2632
(814) 269-3292
Mailing address
177 MAYLUTH RD, JOHNSTOWN, PA 15904-2632
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP037870L
PA
Other
Enumeration date
03/28/2011
Last updated
03/28/2011
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