Individual
JACQUELINE M PANICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2083 LAWRENCEVILLE RD, LAWRENCEVILLE, NJ 08648-3099
(856) 278-7794
Mailing address
224 EDGEWOOD AVE, AUDUBON, NJ 08106-2225
(856) 278-7794
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00346900
NJ
Other
Enumeration date
07/16/2026
Last updated
07/16/2026
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