Individual
JEFFREY LEYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2014 FAIRMOUNT DR, JAMISON, PA 18929-1443
(570) 441-5893
Mailing address
2014 FAIRMOUNT DR, JAMISON, PA 18929-1443
(570) 441-5893
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
PT017114
PA
Other
Enumeration date
09/21/2007
Last updated
02/26/2020
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