| NPI | 1952681074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN MARIE O'DONNELL Family Nurse Practitioner 570-590-2573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: PA SP009671) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2011-08-19 |