Individual
JACQUELYN D'AMICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8814 ENNIS DR, ERIE, PA 16509-5004
(814) 323-3839
Mailing address
8814 ENNIS DR, ERIE, PA 16509-5004
(814) 323-3839
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN331742L
PA
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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