Individual
JESSICA L. PORACKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6840 GLENDALE AVE, YOUNGSTOWN, OH 44512-4526
(330) 921-1174
Mailing address
6840 GLENDALE AVE, YOUNGSTOWN, OH 44512-4526
(330) 921-1174
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.325835
OH
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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