| Edzer Jean, | |
|
6445 Rising Sun Ave, Phila, PA 19111-5228 | |
| (215) 742-3247 | |
| Not Available |
| Full Name | Edzer Jean |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 6445 Rising Sun Ave, Phila, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245466739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PN263850 (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Edzer Jean, 6445 Rising Sun Ave, Phila, PA 19111-5228 Ph: () - | Edzer Jean, 6445 Rising Sun Ave, Phila, PA 19111-5228 Ph: (215) 742-3247 |
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