Individual
STANLEY RAIJSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
511 RIVER ST, FORTY FORT, PA 18704-4936
(844) 874-4328
Mailing address
26 COX ST, LARKSVILLE, PA 18651-1722
(570) 328-4110
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
PA
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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