JACLYN RAE TYSON

BETHLEHEM, PA
NPI1740661693
Professional NameJACLYN RAE BIVALETZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: PA  SP014350)
Enumeration Date2015-06-16
Last Update Date2021-10-19
Business Address
JACLYN RAE TYSON CRNP
95 HIGHLAND AVE STE 130
BETHLEHEM, PA 18017-9483
Phone number: 484-503-8281
Mailing Address
JACLYN RAE TYSON CRNP
95 HIGHLAND AVE STE 130
BETHLEHEM, PA 18017-9483
Phone number: 484-503-8281
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