Individual
JACQUELYN COURIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
5607 ROUTE 957, RUSSELL, PA 16345-2033
(814) 593-0011
(814) 593-0012
Mailing address
5607 ROUTE 957, RUSSELL, PA 16345-2033
(814) 593-0011
(814) 593-0012
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
SPO27894
PA
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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