Individual
CHARLENE JAYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9247 MAIN ST, NORTH BROOKFIELD, NY 13418-2007
(315) 527-5024
Mailing address
9247 MAIN ST, NORTH BROOKFIELD, NY 13418-2007
(315) 527-5024
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
312771-1
NY
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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