Individual
JESSICA KATHLEEN MANCOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10555 CONNOR CT, WEXFORD, PA 15090-9469
(412) 996-0796
Mailing address
10555 CONNOR CT, WEXFORD, PA 15090-9469
(412) 996-0796
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN683288
PA
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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