Individual
JENNIFER R HODGE-STANGROOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 WALNUT ST STE 1, MCKEESPORT, PA 15132-7300
(724) 331-2648
Mailing address
4201 WALNUT ST STE 1, MCKEESPORT, PA 15132-7300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN606607
PA
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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