Individual
KELSEY LOUISE JANESKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 MULBERRY ST, SCRANTON, PA 18510-2369
(570) 703-8000
Mailing address
112 RAILROAD ST, MOOSIC, PA 18507-1718
(570) 862-7689
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA059873
PA
Other
Enumeration date
09/18/2018
Last updated
10/22/2018
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