Individual
MS. JEZABEL DESIREE RODRIGUEZ ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
321 N KEYSER AVE, SCRANTON, PA 18504-9788
(570) 710-9757
Mailing address
321 N KEYSER AVE, SCRANTON, PA 18504-9788
(570) 710-9757
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
A6422434
PA
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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