Jessica Lyn Decicco

NPI #1093354763 in Kerhonkson, New York

Provider Information

NPI Number
1093354763
Entity Type
Individual
Name
Jessica Lyn Decicco
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Dec 30, 2019
Last Updated
Dec 30, 2019

Practice Location

Address
190 CHERRYTOWN RD LOT 12
ZIP Code
12446-2140
Phone
(845) 242-7956

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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