Athena Womens Care Llc

NPI 1194028787 - Obstetrics & Gynecology - 207VG0400X

NPI Details
NPI 1194028787
Enumeration Date 12/21/2010
Last Updated 12/21/2010
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name TRACY J TRACY
Position PRESIDENT
Phone (724) 532-2322
Fax (724) 532-2405
Practice Location
911 LIGONIER ST
SUITE 205
LATROBE PA, 15650-1805, US
Phone (724) 532-2322
Fax (724) 532-2405
Business Location
911 LIGONIER ST
SUITE 205
LATROBE PA, 15650-1805, US
Phone (724) 532-2322
Fax (724) 532-2405
Toxanomy
Taxonomy Code 207VG0400X
License State
License Number
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According to our database, Athena Womens Care Llc NPI is 1194028787, taxonomy code is 207VG0400X Athena Womens Care Llc physically located at 911 Ligonier St, Latrobe PA, 15650-1805. NPI Number 1033115704 has the healthcare provider type.

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1194028787 NPI number is provided on an as is basis without warranty of any kind. 1194028787 is maintained by the National Plan & Provider Enumeration System. The contents of Athena Womens Care Llc are for informational purposes only.