Individual
JACQUELINE MAUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PHD, CNS, ACHPN
Contact information
Practice address
19201 VILLAVIEW RD, CLEVELAND, OH 44119-3064
(216) 486-6701
Mailing address
7304 HAYES BLVD, MENTOR, OH 44060-4749
(440) 946-8527
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary
RN-238885
OH
Other
Enumeration date
06/22/2007
Last updated
07/08/2007
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