Individual
JENNIFER C RENNINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
701 W. OAK STREET, FRACKVILLE, PA 17931
(570) 874-4100
(570) 874-1730
Mailing address
701 W. OAK STREET, FRACKVILLE, PA 17931
(570) 874-4100
(570) 874-1730
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA052923
PA
Other
Enumeration date
03/15/2007
Last updated
10/06/2011
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