Individual
MYRNA JERSILD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1430 MANOA RD, WYNNEWOOD, PA 19096-3208
(610) 945-4897
(610) 642-4105
Mailing address
216 KENT RD, ARDMORE, PA 19003-3304
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AK001088
PA
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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