| NPI | 1962730333 |
|---|---|
| Doing Business As | COAGULATION CLINIC |
| Entity Type | Organization |
| Authorized Contact | JANE RAGONE Manager 570-420-4970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2009-11-24 |