Individual
JAN EARLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
401 DIVISION ST, HARRISBURG, PA 17110-2058
(717) 782-4349
Mailing address
PO BOX 1855, HARRISBURG, PA 17105-1855
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN097050L
PA
Other
Enumeration date
03/25/2010
Last updated
03/25/2010
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