Individual
JACQUELYN R BORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(814) 353-1030
(814) 353-1053
Mailing address
174 BUCKAROO LANE, BELLEFONTE, PA 16823
(814) 353-1030
(814) 353-1053
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA052690
PA
Other
Enumeration date
09/30/2006
Last updated
09/26/2013
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