Individual
JAYNE STACHEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
850 OAK ST, FREDERICK, MD 21703-8442
(301) 698-8374
Mailing address
850 OAK ST, FREDERICK, MD 21703-8442
(301) 698-8374
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1092259
TX
363AM0700X
Medical Physician Assistant
Primary
1092259
MD
Other
Enumeration date
06/18/2010
Last updated
05/18/2015
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