Individual
JEAN FLETCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6785 BERWICK TPKE, COLUMBIA CROSS ROADS, PA 16914-8269
(570) 596-3943
Mailing address
6785 BERWICK TPKE, COLUMBIA CROSSROADS, PA 16914
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
326564-1
NY
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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