Individual
MRS. JESSICA GRACE MOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
429 MANOR DR, SUITE 10, EBENSBURG, PA 15931-4917
(814) 472-6060
(814) 472-1293
Mailing address
429 MANOR DR, SUITE 10, EBENSBURG, PA 15931-4917
(814) 472-6060
(814) 472-1293
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN595939
PA
Other
Enumeration date
11/08/2014
Last updated
11/08/2014
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