Individual
JACLYN VENCZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-5114
(440) 312-3130
Mailing address
2118 MURRAY HILL RD APT 2, CLEVELAND, OH 44106-5926
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004260
OH
363A00000X
Physician Assistant
—
—
Other
Enumeration date
05/28/2015
Last updated
03/17/2018
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