Individual
JILLIAN M TALLARICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
63 W CHURCH ST, STEVENS, PA 17578-9203
(717) 721-8795
(717) 336-8284
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 721-8795
(717) 336-8284
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA055910
PA
Other
Enumeration date
12/10/2012
Last updated
02/14/2020
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