Jaclyn Carricato
NPI #1528423522 in North Bend, Oregon
Provider Information
- NPI Number
- 1528423522
- Entity Type
- Individual
- Name
- Jaclyn Carricato
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider
- Enumeration Date
- Dec 18, 2015
- Last Updated
- Dec 18, 2015
Practice Location
- Address
- 2000 CONNECTICUT AVE
- City
- North Bend
- State
- Oregon
- ZIP Code
- 97459-2300
- Phone
- (631) 291-2498
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider |
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