Individual
JESSICA MARSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1825 E LINCOLN HWY, COATESVILLE, PA 19320-2407
(610) 466-9250
Mailing address
1825 E LINCOLN HWY, COATESVILLE, PA 19320-2407
(610) 466-9250
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN288275
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016970150001
—
PA
Enumeration date
01/25/2022
Last updated
01/25/2022
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