Individual
JULIANA MICHELLE WACLAWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
133 N RIVER ST, WILKES BARRE, PA 18711-0801
(570) 208-5900
Mailing address
166 E GRAND ST, NANTICOKE, PA 18634-3208
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
05/26/2021
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