Individual
JAHRA FLORENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42 PULASKI ST, KINGSTON, PA 18704-2626
(570) 824-4764
Mailing address
42 PULASKI ST, KINGSTON, PA 18704-2626
(570) 824-4764
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN292231
PA
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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