Individual
MR. RONALD J POTOCKI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
8771 FINDLEY LAKE RD, NORTH EAST, PA 16428-4273
(814) 881-2563
Mailing address
8771 FINDLEY LAKE RD, NORTH EAST, PA 16428-4273
(814) 881-2563
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN266404
PA
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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