KELLY DAMIAN FREDERICK

LATROBE, PA
NPI1588112015
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy176P00000X Funeral Director
(Licence: PA  FD-014493-L)
Enumeration Date2016-09-13
Last Update Date2016-09-13
Business Address
KELLY DAMIAN FREDERICK
1543 LIGONIER ST
LATROBE, PA 15650-2955
Phone number: 724-537-7766
Mailing Address
KELLY DAMIAN FREDERICK
1543 LIGONIER ST
LATROBE, PA 15650-2955
Phone number: 724-537-7766