Individual
JACKIE LYNN BARROWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
4161 STATE HIGHWAY 220, OXFORD, NY 13830-4306
(607) 316-8195
Mailing address
4161 STATE HIGHWAY 220, OXFORD, NY 13830-4306
(607) 316-8195
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
79882576
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
811842857
NY STATE
NY
Enumeration date
09/23/2019
Last updated
09/23/2019
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