Individual
LAURA MARIE JABLINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IDC
Contact information
Practice address
29 REED AVE, LACKAWANNA, NY 14218-1618
(240) 274-5740
Mailing address
29 REED AVE, LACKAWANNA, NY 14218-1618
(240) 274-5740
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
07/22/2011
Last updated
07/22/2011
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