Individual
MRS. SANDRA JAYNE ANNICHARICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
7650 VAN BUREN RD, BALDWINSVILLE, NY 13027-9782
(315) 638-6106
Mailing address
7624 FITZPATRICK DR, LIVERPOOL, NY 13088-3636
(315) 457-1441
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
543361-1
NY
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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