Individual
MRS. JENNIFER LISA HOOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
262 CANAL ST, MONTOUR FALLS, NY 14865-9600
(607) 535-7517
(607) 535-7802
Mailing address
262 CANAL ST, MONTOUR FALLS, NY 14865-9600
(607) 535-7517
(607) 535-7802
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
480379-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15-6002322
—
NY
Enumeration date
04/18/2012
Last updated
04/18/2012
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