Individual
JESSICA GREGORIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2350 ROUTE 63, WAYLAND, NY 14572-9509
(585) 728-3006
Mailing address
2350 ROUTE 63, WAYLAND, NY 14572-9509
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
690775-1
NY
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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