JESSICA ROSE

Contractor

Active Individual
NPI: 1104565019

Practice Address

80 STATE HIGHWAY 310 STE 2
Canton, NY 13617

Phone: (315) 386-2325

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes -

Frequently Asked Questions

NPI 1104565019 is the National Provider Identifier for JESSICA ROSE, a Contractor provider located in Canton, NY. This NPI was enumerated on May 31, 2022.
JESSICA ROSE practices at 80 STATE HIGHWAY 310 STE 2, Canton, NY 13617.

Quick Facts

NPI
1104565019
Type
Individual
Enumerated
May 31, 2022
Last Updated
May 31, 2022

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