NPI 1417108937

William A. Yanicko, FD

Practitioner Funeral Director Russellton, PA

Practice location

Address: 23 McKrell Rd, Russellton, PA 15076-1302
Phone: (724) 265-3800
Fax: (724) 265-3888
Mailing address: PO Box 21, Russellton, PA 15076-0021

Registered specialties

Funeral Director Primary

Other Service Providers Taxonomy 176P00000X Licence FD-013014-L (PA)

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Registry record

NPI: 1417108937
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Oct 2008
Record last updated: 2 Oct 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.