Search › Pennsylvania › 163W00000X
Mary Yazdzik
NPI 1568281053 · on the registry since 2024 · sole proprietor
Practice
- Address
- 5266 Fiddle Lake Rd
Thompson, PA 18465 - Phone
- (570) 647-9803
- Organisation at this address
- Eternal Rest Farm
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania