Individual
JENNIFER IRENE PEQUIGNOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1635 STATE ROUTE 442, LOT D17, MUNCY, PA 17756-1635
(570) 506-0663
Mailing address
1635 STATE ROUTE 442, LOT D17, MUNCY, PA 17756-1635
(570) 506-0663
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
9979387
PA
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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