Individual
NDE FORBANJONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1485 SURREY RUN CT, YORK, PA 17408-4497
(567) 868-2003
Mailing address
1485 SURREY RUN CT, YORK, PA 17408-4497
(567) 868-2003
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN723396
PA
Other
Enumeration date
06/14/2025
Last updated
06/14/2025
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