Jillian Pavlacka

NPI #1801354873 in Mitchellville, Maryland

Provider Information

NPI Number: 1801354873
Entity Type: Individual
Name: Jillian Pavlacka
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 7, 2019
Last Updated: Mar 7, 2019

Practice Location

Address: 12158 CENTRAL AVE
City: Mitchellville
State: Maryland
ZIP Code: 20721-1932
Phone: (301) 390-3076

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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