Jacqueline Willett LPN

NPI 1073823019 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1073823019
Gender Female
Enumeration Date 10/08/2010
Last Updated 10/08/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
6870 CONCORD RD
SPRINGVILLE NY, 14141-9714, US
Phone (716) 818-0968
Fax
Business Location
6870 CONCORD RD
SPRINGVILLE NY, 14141-9714, US
Phone (716) 818-0968
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 181999
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According to our database, Mrs. Jacqueline Willett LPN NPI is 1073823019, taxonomy code is 164W00000X and license number is 181999, license state is located at New York. Jacqueline Willett LPN physically located at 6870 Concord Rd, Springville NY, 14141-9714. NPI Number Jacqueline Willett LPN has the Individual type.

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1073823019 NPI number is provided on an as is basis without warranty of any kind. 1073823019 is maintained by the National Plan & Provider Enumeration System. The contents of Jacqueline Willett LPN are for informational purposes only.