Jacqueline Elizabeth Witherell

NPI #1023741873 in Effingham, Illinois

Provider Information

NPI Number: 1023741873
Entity Type: Individual
Name: Jacqueline Elizabeth Witherell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Jul 7, 2022
Last Updated: Jul 7, 2022

Practice Location

Address: 1200 NETWORK CENTRE DR STE 2
City: Effingham
State: Illinois
ZIP Code: 62401-4637
Phone: (217) 427-8058

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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