Provider Demographics
NPI:1629435318
Name:AUKER-ENDRES, MARY
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:AUKER-ENDRES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199 AUDREY DR
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-8476
Mailing Address - Country:US
Mailing Address - Phone:717-222-8318
Mailing Address - Fax:
Practice Address - Street 1:199 AUDREY DR
Practice Address - Street 2:
Practice Address - City:LITITZ
Practice Address - State:PA
Practice Address - Zip Code:17543-8476
Practice Address - Country:US
Practice Address - Phone:717-222-8318
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-26
Last Update Date:2016-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist