Individual
MRS. JACQUELINE LEE CAVALLERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3015 LINCOLN HWY, THORNDALE, PA 19372-1114
(610) 462-8735
Mailing address
102 BIRKDALE CIR, AVONDALE, PA 19311-1449
(610) 462-8735
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP015544
PA
Other
Enumeration date
07/03/2015
Last updated
10/27/2015
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