Individual
JACQUELINE SPATHAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 HUNTER LN, CAMP HILL, PA 17011-2400
(800) 748-3243
Mailing address
4 BITTERSWEET WAY, STONINGTON, CT 06378-2329
(860) 303-2645
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
E54698
CT
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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