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Jillian Pavlacka
Student in an Organized Health Care Education/Training Program in Mitchellville, Maryland
NPI 1801354873

Jillian Pavlacka is a Student in an Organized Health Care Education/Training Program based in Laurel, MD. Jillian Pavlacka practices in Mitchellville, MD. The NPI Number for Jillian Pavlacka is 1801354873 and holds a License No. (Maryland).

The current practice location address for Jillian Pavlacka is 12158 Central Ave, Mitchellville, MD and can be reached out via phone at 301-390-3076.

Location: 12158 Central Ave, Mitchellville, MD, 20724-2571
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801354873
Provider Name
Jillian Pavlacka
Credential
Provider Entity Type
Individual
Gender
Female
Address
12158 Central Ave, Mitchellville, MD, 20724-2571
Phone Number
301-390-3076
Fax Number
Provider Enumeration Date
03/07/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12158 Central Ave
City
Mitchellville
State
Maryland
Zip
20721-1932
Phone Number
301-390-3076
Fax Number
person
Provider Business Mailing Address Details
Address
12158 Central Ave
City
Mitchellville
State
Maryland
Zip
20721-1932
Phone Number
301-390-3076
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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