Individual
JESSICA REYNOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
335 S FRANKLIN ST, WILKES BARRE, PA 18702-3808
(570) 825-6425
(570) 762-9025
Mailing address
10 KIDDER ST, CITY OF WILKES BARRE, PA 18702-5417
(570) 704-6517
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN709436
PA
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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