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Search › Pennsylvania › 133V00000X

Alyssa Jacullo

NPI 1952124968 · on the registry since 2024 · sole proprietor

Practice

Address
1 Presidential Blvd
Bala Cynwyd, PA 19004
Phone
(215) 264-2574
Organisation at this address
Bala Asc
John Rickards
Sandra M. Mack
Your Wellness Consultants Llc
Kingsbury Oral And Maxillofacial Surgery, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Additional practice sites

  • 12430 Wyndom Rd, Philadelphia, PA

Registry record

Primary taxonomy
133V00000X
133V00000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-11-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania