Individual
MS. JANETTE S MARCIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
626 W LINCOLN AVE, CHARLESTON, IL 61920-2444
(217) 345-7702
(217) 345-7705
Mailing address
626 W LINCOLN AVE, CHARLESTON, IL 61920-2444
(217) 345-7702
(217) 345-7705
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-004294
IL
Other
Enumeration date
03/15/2012
Last updated
12/04/2023
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