Individual
BRANDON PANKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1902 OLDE HOMESTEAD LN, LANCASTER, PA 17601-5875
(717) 390-0353
Mailing address
173 CHELSEA ST, EVERETT, MA 02149-4632
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP022008
PA
Other
Enumeration date
09/05/2019
Last updated
05/28/2020
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