Individual
MR. JESSE ROBERT PENTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
54A LEBANON AVE, UNIONTOWN, PA 15401-4127
(724) 322-1683
(724) 437-2629
Mailing address
144 GLENN SMITH RD, LAKE LYNN, PA 15451-1074
(724) 970-8676
(724) 437-2629
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
16773601
PA
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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