Individual
JENNIFER WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 TOWER ST, JAMESTOWN, NY 14701
(716) 294-3181
Mailing address
116 TOWER ST, JAMESTOWN, NY 14701
(716) 294-3181
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47-2477493
—
NY
Enumeration date
04/20/2019
Last updated
04/20/2019
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