Individual
JACQUELYN FEDELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 S MAIN STREET, 2ND FLOOR SUITE A, YARDLEY, PA 19067-1571
(215) 493-4501
(215) 493-4501
Mailing address
7 S MAIN STREET, 2ND FLOOR SUITE A, YARDLEY, PA 19067-1571
(215) 493-4501
(215) 493-4501
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114362241
—
PA
Enumeration date
04/04/2019
Last updated
04/04/2019
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