Individual
JODI YINGLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3107 FAIRWAY DR, ALTOONA, PA 16602-4475
(814) 949-7280
Mailing address
3107 FAIRWAY DR, ALTOONA, PA 16602-4475
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN261172-L
PA
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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