Jaclyn Ketterer

NPI #1346705407 in Monroe, New York

Provider Information

NPI Number: 1346705407
Entity Type: Individual
Name: Jaclyn Ketterer
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Feb 4, 2019
Last Updated: Feb 4, 2019

Practice Location

Address: 394 OLD DUTCH HOLLOW RD
City: Monroe
State: New York
ZIP Code: 10950-4575
Phone: (845) 313-8154

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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