Individual
JENIFER LEE MOSS RUNKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1032 BURROW RD, ONTARIO, NY 14519-9141
(585) 755-4119
(585) 755-1133
Mailing address
1032 BURROW RD, ONTARIO, NY 14519-9141
(585) 755-4119
(585) 755-1133
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
NY000446571E
NY
Other
Enumeration date
01/09/2026
Last updated
01/09/2026
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