Individual
WENDY S JOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23 MAPLE ST, MASSENA, NY 13662-1017
(315) 769-8441
Mailing address
23 MAPLE ST, MASSENA, NY 13662-1017
(315) 769-8441
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
506020
NY
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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