Individual
JODI LYN CIESZKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
409 N MAIN AVE STE 1, SCRANTON, PA 18504-1798
(570) 209-7878
(570) 209-7715
Mailing address
18 SONNY DR, OLD FORGE, PA 18518-1137
(570) 468-5406
(570) 209-7715
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS012156
PA
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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