MRS. Jackie Anne Harasewicz, OMT

NPI #1295368090 in Coloma, Michigan

Provider Information

NPI Number: 1295368090
Entity Type: Individual
Name: MRS. Jackie Anne Harasewicz, OMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: OMT
Enumeration Date: Feb 20, 2020
Last Updated: Feb 24, 2021

Practice Location

Address: 213 N PAW PAW ST
City: Coloma
State: Michigan
ZIP Code: 49038-9589
Phone: (269) 753-8213

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X
Specialist	174400000X	Primary

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