Individual
JESSICA BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2141 OREGON PIKE, LANCASTER, PA 17601-4604
(717) 617-2706
Mailing address
333 THOMAS RD, ROARING BRANCH, PA 17765-8965
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN309765
PA
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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