Individual
JACLYN DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 782-3131
Mailing address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 231-8772
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA060847
PA
Other
Enumeration date
07/23/2019
Last updated
01/16/2021
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