Organization
SYLVA MEDICAL PRACTICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN SYLVESTRE AYISSI ESSONO CRNP (DOCTOR)
(445) 544-0210
Entity
Organization
Contact information
Practice address
175 PROGRESS DR, WAYNESBURG, PA 15370-8082
(724) 852-2902
Mailing address
137 VALENCIA RD, RENFREW, PA 16053-9459
(445) 544-0210
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
—
261QP2400X
Prison Health Clinic/Center
—
—
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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