Individual
JODI RAE REGULSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
90 E 2ND ST, EMPORIUM, PA 15834-1302
(814) 486-1115
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-6560
(814) 372-2848
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA001743L
PA
Other
Enumeration date
10/12/2005
Last updated
10/23/2020
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