Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Family
Enumerated
Apr 5, 2019
License(s)
SP020176 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1848 GREENTREE RD | Pittsburgh, PA 15220-1851 | 412-344-7744 |
| MAILING | 3271 DOROTHY ST | Lower Burrell, PA 15068-2703 | 724-640-2778 |
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