Individual
JESSIE MYRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC., DIPL. O.M.
Contact information
Practice address
407 TAUGHANNOCK BLVD STE E, ITHACA, NY 14850-3252
(520) 445-5524
Mailing address
3984 SENECA RD, HECTOR, NY 14841-9604
(520) 445-5524
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
5574
NY
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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