TRACEY MARIE SHIVOK-JEFFERSON

HARRISBURG, PA
NPI1053699025
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: PA  SP011299)
Enumeration Date2011-07-25
Last Update Date2024-06-03
Business Address
TRACEY MARIE SHIVOK-JEFFERSON NP-C
600 N 2ND ST STE 401
HARRISBURG, PA 17101-1071
Phone number: 860-788-6404
Mailing Address
TRACEY MARIE SHIVOK-JEFFERSON NP-C
PO BOX 1595
MIDDLETOWN, CT 06457-8095
Phone number: 860-788-6404
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