Individual
JODIE HALLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1898 GARRISON RD, NICHOLSON, PA 18446-7790
(570) 926-8425
Mailing address
PO BOX 266, MESHOPPEN, PA 18630-0266
(570) 926-8425
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN286361
PA
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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