Individual
JENELLE DREXLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1730 RIDGE ROAD, ONTARIO, NY 14520
(315) 524-1158
(315) 524-1169
Mailing address
7254 FURNACE RD, ONTARIO, NY 14519-8922
(585) 217-6675
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
687663-1
NY
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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