Individual
IVAN JOSE DE JESUS RIJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
40 W FRACK ST, FRACKVILLE, PA 17931-1719
(570) 794-6123
Mailing address
40 W FRACK ST, FRACKVILLE, PA 17931-1719
(570) 794-6123
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP033942
PA
Other
Enumeration date
06/29/2026
Last updated
06/29/2026
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