Individual
JESSICA LAUREN DELL'AQUILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
3400 CIVIC CENTER BLVD FL 4, PHILADELPHIA, PA 19104-5127
(215) 662-2626
(215) 614-0244
Mailing address
3400 CIVIC CENTER BLVD FL 4, PHILADELPHIA, PA 19104-5127
(215) 662-2626
(215) 614-0244
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA060797
PA
Other
Enumeration date
08/14/2019
Last updated
06/21/2022
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