Individual
MISS CYNTHIA LEE JASKIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4115 CONRAD RD, ERIE, PA 16510-3519
(814) 825-7480
Mailing address
4115 CONRAD RD, ERIE, PA 16510-3519
(814) 825-7480
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN278868
PA
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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