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Individual

JEAN A RISSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
584 SPRINGVILLE RD, NEW HOLLAND, PA 17557-9564
(717) 354-4711
(717) 354-0824
Mailing address
584 SPRINGVILLE RD, NEW HOLLAND, PA 17557-9564
(717) 354-4711
(717) 354-0824

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN044194L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PN044194L
LICENSE NUMBER
PA
Enumeration date
08/21/2008
Last updated
08/21/2008
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