Jamie S Gandulla RN

NPI 1023320439 - Registered Nurse - 163W00000X

NPI Details
NPI 1023320439
Gender Female
Enumeration Date 07/14/2010
Last Updated 07/14/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
20 COMMUNITY LN
LIBERTY NY, 12754-2851, US
Phone (845) 292-8770
Fax (845) 513-2110
Business Location
48 MITTEER RD
HURLEYVILLE NY, 12747-5429, US
Phone
Fax
Toxanomy
Taxonomy Code 163W00000X
License State New York
License Number 478680-1
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According to our database, Ms. Jamie S Gandulla RN NPI is 1023320439, taxonomy code is 163W00000X and license number is 478680-1, license state is located at New York. Jamie S Gandulla RN physically located at 20 Community Ln, Liberty NY, 12754-2851. NPI Number Jamie S Gandulla RN has the Individual type.

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1023320439 NPI number is provided on an as is basis without warranty of any kind. 1023320439 is maintained by the National Plan & Provider Enumeration System. The contents of Jamie S Gandulla RN are for informational purposes only.