Individual
MARIE GRACE SANCHEZ JACILDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
211 JB WISE PLAZA, WATERTOWN, NY 13601-1360
(315) 788-7430
(315) 785-5637
Mailing address
PO BOX 6550, WATERTOWN, NY 13601-6550
(315) 788-7430
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
734882
NY
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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