Individual
MRS. JAMIE LEIGH GRUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
12878 ROUTE 39, SOUTH DAYTON, NY 14138-9716
(716) 785-7876
Mailing address
12878 ROUTE 39, SOUTH DAYTON, NY 14138-9716
(716) 785-7876
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
1934058
NY
Other
Enumeration date
05/29/2012
Last updated
05/29/2012
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