Mersadie Grace Dibbell, STUDENT
NPI #1033862040 in East Stroudsburg, Pennsylvania
Provider Information
- NPI Number
- 1033862040
- Entity Type
- Individual
- Name
- Mersadie Grace Dibbell, STUDENT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Credential
- STUDENT
- Enumeration Date
- Jan 31, 2022
- Last Updated
- Jan 31, 2022
Practice Location
- Address
- 200 PROSPECT ST
- City
- East Stroudsburg
- State
- Pennsylvania
- ZIP Code
- 18301-2956
- Phone
- (570) 422-3211
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
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