Individual
JACQUELINE MARIE NAZARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9500 EUCLID AVE # A71, CLEVELAND, OH 44195-0001
(216) 444-6691
Mailing address
2139 SUNSET DR, WICKLIFFE, OH 44092-2024
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/06/2021
Last updated
01/10/2022
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