JAMI ALYSSA RUBIN PAVLAK

STATE COLLEGE, PA
NPI1265770010
Former NameJAMI ALYSSA RUBIN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: PA  SP025348)
Additional Taxonomies363LP0200X Nurse Practitioner, Pediatrics
(Licence: MI  4704294965)
363LP0200X Nurse Practitioner, Pediatrics
(Licence: PA  SP018828)
Enumeration Date2013-01-29
Last Update Date2022-02-10
Business Address
JAMI ALYSSA RUBIN PAVLAK NP
320 ROLLING RIDGE DR STE 100
STATE COLLEGE, PA 16801-7641
Phone number: 814-867-0670
Mailing Address
JAMI ALYSSA RUBIN PAVLAK NP
320 ROLLING RIDGE DR STE 100
STATE COLLEGE, PA 16801-7641
Phone number: 814-867-0670