MS. Jaclyn Marie Nicodemo, LMT
NPI #1972248128 in King of Prussia, Pennsylvania
Provider Information
- NPI Number
- 1972248128
- Entity Type
- Individual
- Name
- MS. Jaclyn Marie Nicodemo, LMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Chiropractor
- Credential
- LMT
- Enumeration Date
- May 2, 2022
- Last Updated
- May 2, 2022
Practice Location
- Address
- 970 PULASKI DR
- City
- King of Prussia
- State
- Pennsylvania
- ZIP Code
- 19406-2802
- Phone
- (610) 640-9355
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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