Individual
JOLI JUNGELS DALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3512 STELLHORN RD, FORT WAYNE, IN 46815-4631
(260) 483-9081
Mailing address
PO BOX 392552, PITTSBURGH, PA 15251-9500
(512) 792-4402
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
100004170A
IN
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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