Individual
MRS. JAMIE LEIGH WALCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 RANO BLVD, VESTAL, NY 13850-2776
(607) 296-2021
(607) 296-2023
Mailing address
100 RANO BLVD, VESTAL, NY 13850-2776
(607) 296-2021
(607) 296-2023
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
—
—
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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