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Janice E. Mancini Rd LLC

Clinic/Center, Health Services in Washington, PA. Organization (NPI-2).

NPI number1285964528
StatusActive
Last updated in NPPESJan 9, 2010

Details

NPI
1285964528
Entity type
Organization (NPI-2)
Legal business name
Janice E. Mancini Rd LLC
Organization subpart
No
Enumeration date
Jan 9, 2010
Last updated
Jan 9, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QH0100X Clinic/Center, Health ServicesDN000105PAYes

Practice location

1200 Washington Rd
Washington, PA 15301-9696

Phone 724-255-3550 · Fax 724-942-6650

Mailing address

1200 Washington Rd
Washington, PA 15301-9696

Phone 724-255-3550 · Fax 724-942-6650

Authorized official

Janice E. Mancini
R.D.
7242553550

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