Jaclyn Tara Delauretis, PA-C

NPI #1518355270 in Millville, Pennsylvania

Provider Information

NPI Number: 1518355270
Entity Type: Individual
Name: Jaclyn Tara Delauretis, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 5, 2015
Last Updated: Jan 5, 2015

Practice Location

Address: 515 JERSEYTOWN RD
City: Millville
State: Pennsylvania
ZIP Code: 17846-8825
Phone: (570) 458-5597

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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