Individual
CORRIN M FESKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
315 LOCUST ST, 2ND FL, JOHNSTOWN, PA 15901-1651
(814) 534-6750
(814) 534-6760
Mailing address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 410-8300
(814) 410-8331
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP016585
PA
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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