Individual
MRS. MARYLOU E JASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4099 STATE HIGHWAY 145, DURHAM, NY 12422
(518) 259-8412
(518) 239-5925
Mailing address
4099 STATE HIGHWAY 145, DURHAM, NY 12422
(518) 259-8412
(518) 239-5925
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
401437
NY
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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