Individual
JANINE GARANCOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 MARKET ST, LEWISBURG, PA 17837-3002
(570) 524-0900
Mailing address
1262 PULASKI AVE, COAL TOWNSHIP, PA 17866-3818
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN105302L
PA
Other
Enumeration date
08/28/2007
Last updated
08/28/2007
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