Individual
JANE KATHLEEN HYDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST CSA
Contact information
Practice address
236 W 9TH ST, BLOOMSBURG, PA 17815-2506
(570) 336-9278
Mailing address
236 W 9TH ST, BLOOMSBURG, PA 17815-2506
(570) 336-9278
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
3234
PA
Other
Enumeration date
06/27/2008
Last updated
02/02/2015
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