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Individual

MS. JACLYN MARIE DEMATTEIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
101 APPLIED BANK BLVD STE 11, GLEN MILLS, PA 19342
(484) 800-8630
(484) 800-8635
Mailing address
PO BOX 191, ROCKLAND, DE 19732-0191
(302) 651-4000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C5-0001137
DE
363A00000X
Physician Assistant
Primary
OA003932
PA

Other

Enumeration date
09/17/2013
Last updated
10/25/2019
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