Individual
JENNIFER JOYCE KRATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5 HOTHER LN, BAY SHORE, NY 11706-7622
(479) 459-1809
Mailing address
5 HOTHER LN, BAY SHORE, NY 11706-7622
(479) 459-1809
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
541147
NY
Other
Enumeration date
06/22/2009
Last updated
06/22/2009
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