Individual
MS. JACLYN MARIE ODELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
891 LAWRENCE RD, HILTON, NY 14468-9198
(585) 478-4299
Mailing address
891 LAWRENCE RD, HILTON, NY 14468-9198
(585) 478-4299
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
543981-1
NY
Other
Enumeration date
11/20/2011
Last updated
11/20/2011
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