Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Oct 11, 2022
License(s)
SP026112 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 2100 MACK BLVD | Allentown, PA 18103-5622 | 484-884-4500 |
| LOCATION | 1250 S CEDAR CREST BLVD STE 405 | Allentown, PA 18103-6224 | 610-402-8420 |
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