Individual
JACQUELINE NICOLE WIAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
40 W WELLSBORO ST, MANSFIELD, PA 16933-1411
(570) 662-1945
(570) 724-3970
Mailing address
40 W WELLSBORO ST, MANSFIELD, PA 16933-1411
(570) 662-1945
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
PA
Other
Enumeration date
11/06/2013
Last updated
07/14/2023
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