Individual
REBECCA L DEJESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3735 NAZARETH RD STE 301, EASTON, PA 18045-8347
(610) 829-2200
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(484) 884-4500
(484) 884-0628
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
SP019156
PA
Other
Enumeration date
08/13/2018
Last updated
10/20/2023
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