Individual
JOCELYN NIEMKIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
295 STONER AVE STE 204, WESTMINSTER, MD 21157-5637
(410) 876-8332
Mailing address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2945
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0005835
MD
Other
Enumeration date
07/15/2015
Last updated
03/17/2018
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