Individual
MRS. JACQUELYN ANN SARDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4150 MAPLE RD, AMHERST, NY 14226-1042
(716) 250-1460
(716) 250-1475
Mailing address
4150 MAPLE RD, AMHERST, NY 14226-1042
(716) 250-1460
(716) 250-1475
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
22486892
NY
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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