Individual
JERI LYNNE DEMILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2891 FAIRWAY DRIVE, ALTOONA, PA 16602
(814) 943-2273
Mailing address
2891 FAIRWAY DRIVE, ALTOONA, PA 16602
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN648577
PA
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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