Individual
MS. JACQUELYN ELAINE KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
429 MANOR DR, EBENSBURG, PA 15931-4917
(814) 472-6060
Mailing address
429 MANOR DR, EBENSBURG, PA 15931-4917
(814) 472-6060
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN549945
PA
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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