Jessica R Dudley, MS ED TOD

NPI #1326302605 in East Syracuse, New York

Provider Information

NPI Number: 1326302605
Entity Type: Individual
Name: Jessica R Dudley, MS ED TOD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: MS ED TOD
Enumeration Date: Jul 1, 2012
Last Updated: Jul 1, 2012

Practice Location

Address: 6575 KIRKVILLE RD
City: East Syracuse
State: New York
ZIP Code: 13057-9809
Phone: (315) 701-5710

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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