Individual
JAN MARIE SAN JUAN DELLASEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
507 N YORK ST STE 3A, MECHANICSBURG, PA 17055-2778
(717) 516-1290
Mailing address
507 N YORK ST STE 3A, MECHANICSBURG, PA 17055-2778
(717) 516-1290
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP031303
PA
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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