Individual
JOCELYN DIVIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 12TH AVE, SUITE G2, ALTOONA, PA 16601-3100
(814) 943-5901
Mailing address
1701 12TH AVE, SUITE G2, ALTOONA, PA 16601-3100
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN531177
PA
Other
Enumeration date
04/04/2012
Last updated
05/24/2021
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