Terrie Lynn Rastovac LPN

NPI 1043433766 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1043433766
Gender Female
Enumeration Date 04/11/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
913 E OAK ST
PALMYRA PA, 17078-2820, US
Phone (717) 838-2407
Fax
Business Location
913 E OAK ST
PALMYRA PA, 17078-2820, US
Phone (717) 838-2407
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Pennsylvania
License Number PN264132
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According to our database, Mrs. Terrie Lynn Rastovac LPN NPI is 1043433766, taxonomy code is 164W00000X and license number is PN264132, license state is located at Pennsylvania. Terrie Lynn Rastovac LPN physically located at 913 E Oak St, Palmyra PA, 17078-2820. NPI Number Terrie Lynn Rastovac LPN has the Individual type.

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1043433766 NPI number is provided on an as is basis without warranty of any kind. 1043433766 is maintained by the National Plan & Provider Enumeration System. The contents of Terrie Lynn Rastovac LPN are for informational purposes only.