Individual
MRS. JACQUELYN MARIE ANDULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, RN
Contact information
Practice address
95 FRANKLIN ST, RM. 925, BUFFALO, NY 14202-3925
(716) 858-7731
(716) 858-8701
Mailing address
95 FRANKLIN ST, RM. 925, BUFFALO, NY 14202-3925
(716) 858-7731
(716) 858-8701
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
424856-1
NY
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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