Individual
AMELA JASAREVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 448-5536
Mailing address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 448-5536
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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