Individual
JENNIFER S MINNICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
423 N 21ST ST, SUITE 100, CAMP HILL, PA 17011-2207
(717) 761-0930
(717) 761-0465
Mailing address
321 ARMSTRONG ST, PO BOX 222, HALIFAX, PA 17032
(717) 761-0930
(717) 761-0465
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN275150
PA
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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