Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175L00000X | Homeopath | MSG003663 | PA |
NPI | 1134471923 |
---|---|
Provider Name | Ms. Denise Mary Delnodal |
First Address | Wyoming, PA 18644-2010 |
Second Address | Wyoming, PA 18644-2010 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2012 |
Last Update Date | 04/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
173C00000X | (02) | PA |
175L00000X | (02) | PA |