JAELLE TAMARA BACON

MARCINIAK CHIROPRACTIC PLLC

Dr JAELLE TAMARA BACON is a female medical professional, specializing in Chiropractic. She graduated in 2018.

Contact

MARCINIAK CHIROPRACTIC PLLC

989 KENMORE AVE
KENMORE
NY
142172924

Tel: 7163359711

JAELLE TAMARA BACON Information

Npi 1548740533
Pac Id 9032460589
Professional Enrollment Id I20180921000765
Last Name BACON
First Name JAELLE
Middle Name TAMARA
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2018
Primary Specialty CHIROPRACTIC
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MARCINIAK CHIROPRACTIC PLLC
Group Practice Pac Id 1850515388
Number Of Group Practice Members 3
Line 1 Street Address 989 KENMORE AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City KENMORE
State NY
Zip Code 142172924
Phone Number 7163359711
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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