Individual
JENNIFER DAWNETTE THRASHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17 STOUT CT, POUGHKEEPSIE, NY 12601-2963
(845) 702-0658
Mailing address
17 STOUT CT APT C, POUGHKEEPSIE, NY 12601-2964
(845) 702-0658
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
342219341204E
NY
Other
Enumeration date
02/12/2018
Last updated
02/12/2018
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