Jacalyn D Space

NPI #1346017928 in Liberty, New York

Provider Information

NPI Number
1346017928
Entity Type
Individual
Name
Jacalyn D Space
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Dec 5, 2023
Last Updated
Dec 5, 2023

Practice Location

Address
5 TRIANGLE RD
ZIP Code
12754-3368
Phone
(845) 747-2580

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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