Individual
JACLYN MARIE TALASKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1100 PIKE ST, HUNTINGDON, PA 16654-0002
(814) 643-2400
Mailing address
1520 VAN BUREN AVE, ALTOONA, PA 16602-6107
(814) 730-7838
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA062754
PA
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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