Organization
CENTRAL PENN MOBILE WOUND CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KUSHALJIT DHESI MD (AUTHORIZED OFFICIAL)
(858) 382-2764
Entity
Organization
Contact information
Practice address
560 HARDSCRABBLE LN, LEWISBURG, PA 17837-8059
(858) 382-2764
Mailing address
560 HARDSCRABBLE LN, LEWISBURG, PA 17837-8059
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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