Jaclyn Luckhardt

NPI #1184274631 in Gorham, Maine

Provider Information

NPI Number
1184274631
Entity Type
Individual
Name
Jaclyn Luckhardt
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
Sep 17, 2019
Last Updated
Sep 17, 2019

Practice Location

Address
37 COLLEGE AVE
City
Gorham
State
Maine
ZIP Code
04038-1032
Phone
(603) 845-8427

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program

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