Individual
PENNY JAYNE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N
Contact information
Practice address
238 DELEWARE STREET, FOREST CITY, PA 18421
(570) 785-2624
Mailing address
923 CLEARVIEW ST, SCRANTON, PA 18508-2212
(570) 785-2624
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN
PA
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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