Individual
MISS IVY LYNN MERES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
685 N MAIN ST, PITTSTON, PA 18640-2225
(570) 606-3750
Mailing address
685 N MAIN ST, PITTSTON, PA 18640-2225
(570) 606-3750
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN271511
PA
Other
Enumeration date
05/09/2013
Last updated
05/09/2013
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