Individual
KELLY MARIE JACHIMIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1111 E END BLVD, WILKES BARRE, PA 18711-0030
(570) 824-3521
Mailing address
127 PLYMOUTH AVE, WILKES BARRE, PA 18702-1553
(570) 417-2723
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN515347L
PA
Other
Enumeration date
05/04/2019
Last updated
05/04/2019
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