Individual
ANTHONY BALISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2141 OREGON PIKE, LANCASTER, PA 17602-4604
(717) 617-2708
Mailing address
3121 WILLIAM ROAD, GARNET VALLEY, PA 19060
(267) 240-0113
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN279379
PA
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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