Individual
OLHA YANISHEVSKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2284 SAND TRAP RD, JAMISON, PA 18929-1076
(215) 694-8834
Mailing address
2284 SAND TRAP RD, JAMISON, PA 18929-1076
(215) 694-8834
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
12043
PA
Other
Enumeration date
09/20/2012
Last updated
09/28/2012
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