Jamie S Gandulla, RN
Registered Nurse in Liberty, NY. Individual provider (NPI-1).
NPI number1023320439
StatusActive
Last updated in NPPESJul 14, 2010
Details
- NPI
- 1023320439
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jamie S Gandulla
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 14, 2010
- Last updated
- Jul 14, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 478680-1 | NY | Yes |
Practice location
20 Community LnLiberty, NY 12754-2851
Phone 845-292-8770 · Fax 845-513-2110
Mailing address
48 Mitteer RdHurleyville, NY 12747-5429
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