Individual
JACQUELINE JEANNETTE KLOSNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7050 STATE HIGHWAY 80, COOPERSTOWN, NY 13326-3203
(315) 985-3868
Mailing address
7050 STATE HIGHWAY 80, COOPERSTOWN, NY 13326-3203
(315) 985-3868
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
Primary
445289
NY
364SH1100X
Holistic Clinical Nurse Specialist
445289
NY
Other
Enumeration date
01/11/2024
Last updated
02/02/2024
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