Individual
YESSENIA CAYETANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
423 N 21ST ST, SUITE 100, CAMP HILL, PA 17011-2207
(717) 761-0930
(717) 761-0465
Mailing address
113 WORCESTER AVE, APT.7, HARRISBURG, PA 17111-4119
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN278478
PA
Other
Enumeration date
04/30/2010
Last updated
08/21/2012
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