Individual
JESSICA BECKWITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
409 BELL RD S, ROME, NY 13440-3864
(315) 338-5314
Mailing address
409 BELL RD S, ROME, NY 13440-3864
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
721886
NY
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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