Individual
MARY ELLEN JENISKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
835 SPRINGDALE DR, SUITE 100, EXTON, PA 19341-2841
(610) 363-1488
(484) 713-1030
Mailing address
835 SPRINGDALE DR, SUITE 100, EXTON, PA 19341-2841
(610) 363-1488
(484) 713-1030
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN218695L
PA
Other
Enumeration date
03/30/2009
Last updated
03/30/2009
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