Kelli Datres

NPI #1245482520 in Williamsport, Pennsylvania

Provider Information

NPI Number: 1245482520
Entity Type: Individual
Name: Kelli Datres
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Oct 17, 2008
Last Updated: Oct 17, 2008

Practice Location

Address: 1031 BONAIR DRIVE
City: Williamsport
State: Pennsylvania
ZIP Code: 17701
Phone: (570) 327-1098

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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