Individual
MRS. ANN ELIZABETH JACQUARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 WESTERN AVE, GUILDERLAND, NY 12084-9749
(518) 878-3999
Mailing address
2301 WESTERN AVE, GUILDERLAND, NY 12084-9749
(518) 878-3999
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
218971
NY
Other
Enumeration date
03/31/2010
Last updated
10/05/2012
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