Individual
JESSICA WAUGHTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4300 LONDONDERRY RD, HARRISBURG, PA 17109-5317
(717) 230-3700
Mailing address
4300 LONDONDERRY RD, HARRISBURG, PA 17109-5317
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS017989
PA
Other
Enumeration date
07/31/2012
Last updated
02/21/2020
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