Individual
JENNIFER ANNE KOZUSKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN. BSN
Contact information
Practice address
6 GANDER LN, LEWES, DE 19958-9598
(412) 817-4828
Mailing address
6 GANDER LN, LEWES, DE 19958-9598
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
677714
CA
163W00000X
Registered Nurse
Primary
L1-0055028
DE
163W00000X
Registered Nurse
RN538615
PA
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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