Jacqueline May Slack RN

NPI 1396914453 - Registered Nurse - 163W00000X

NPI Details
NPI 1396914453
Gender Female
Enumeration Date 02/22/2008
Last Updated 02/22/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
4455 RT 414
SENECA FALLS NY, 13148-9531, US
Phone (315) 549-7665
Fax
Business Location
4455 RT 414
SENECA FALLS NY, 13148-9531, US
Phone (315) 549-7665
Fax
Toxanomy
Taxonomy Code 163W00000X
License State New York
License Number 481548-1
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According to our database, Mrs. Jacqueline May Slack RN NPI is 1396914453, taxonomy code is 163W00000X and license number is 481548-1, license state is located at New York. Jacqueline May Slack RN physically located at 4455 Rt 414, Seneca Falls NY, 13148-9531. NPI Number Jacqueline May Slack RN has the Individual type.

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1396914453 NPI number is provided on an as is basis without warranty of any kind. 1396914453 is maintained by the National Plan & Provider Enumeration System. The contents of Jacqueline May Slack RN are for informational purposes only.