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Individual

CHIASON LEIGH JORENTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BSN, MSN

Contact information

Practice address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-5127
(215) 662-3318
Mailing address
3813 BARING ST APT 2, PHILADELPHIA, PA 19104-5113
(267) 586-4994

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
SP026202
PA

Other

Enumeration date
09/07/2022
Last updated
03/15/2023
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