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Individual

MRS. JENEEN KATHRYN CHARTERS GAVANA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA

Contact information

Practice address
324 SOPHIA COXE DR, DRIFTON, PA 18221
(570) 926-5698
Mailing address
324 SOPHIA COXE DRIVE, DRIFTON, PA 18221-0283
(570) 926-5698

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
9956348
PA
374U00000X
Home Health Aide
9956348
PA
376K00000X
Nurse's Aide
9956348
PA

Other

Enumeration date
05/16/2011
Last updated
05/16/2011
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