Individual
JESSIKA QUINTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2141 OREGON PIKE, LANCASTER, PA 17602-4604
(717) 617-2708
Mailing address
114 WILD CHERRY ROAD, EAST STROUDSBURG, PA 18301
(272) 332-8050
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN321322
PA
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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