Individual
JACALYN ANN VANDERVORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
99 MAIN ST, DELHI, NY 13753-1221
(607) 832-5200
Mailing address
99 MAIN ST, DELHI, NY 13753-1221
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
382602-1
NY
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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