Individual
JASALYN GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1002 FAWN CT, EFFORT, PA 18330-8604
(570) 656-4047
Mailing address
PO BOX 961, EFFORT, PA 18330-0961
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN273311
PA
Other
Enumeration date
10/20/2010
Last updated
01/20/2011
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