Individual
JESSICA KORI SECRETI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1209 OAK ST, SYRACUSE, NY 13203-1025
(315) 935-5898
Mailing address
1209 OAK ST, SYRACUSE, NY 13203-1025
(315) 935-5898
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
Primary
—
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2010
Last updated
03/22/2010
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