Individual
JENNIFER UPDYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDMS RVT RDCS
Contact information
Practice address
12 MARTIN ST, WELLSVILLE, NY 14895
(585) 593-6069
(585) 219-5735
Mailing address
PO BOX 236, ANDOVER, NY 14806-0236
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
—
—
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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