Individual
JENNIFER ROSE ANN AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1003 PARK ST, OGDENSBURG, NY 13669-3911
(518) 481-1251
Mailing address
1003 PARK ST, OGDENSBURG, NY 13669-3911
(518) 481-1251
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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