Individual
RENEE MARIE IEZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1434 COLLEGE AVE, SCRANTON, PA 18509-1517
(570) 903-1596
Mailing address
1434 COLLEGE AVE, DUNMORE, PA 18509-1517
(570) 903-1596
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP008886
PA
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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