Jacqueline Lee Capone

NPI #1215523121 in Watertown, New York

Provider Information

NPI Number
1215523121
Entity Type
Individual
Name
Jacqueline Lee Capone
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Enumeration Date
Dec 15, 2020
Last Updated
Dec 15, 2020

Practice Location

Address
16783 IVES STREET EXT
ZIP Code
13601-5312
Phone
(315) 788-5377

Specialties & Taxonomy Codes

Specialty
Specialist

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