Individual
JUAN DEROJAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
575 N RIVER ST, WILKES BARRE, PA 18764-0999
(570) 829-8111
Mailing address
99 ALLENBERRY DR, HANOVER TOWNSHIP, PA 18706-1482
(570) 417-0860
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
111961-23
NH
367500000X
Certified Registered Nurse Anesthetist
Primary
134304
PA
Other
Enumeration date
02/12/2021
Last updated
09/11/2024
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