Laurel Jicha, BSN

NPI #1669246948 in Hannibal, New York

Provider Information

NPI Number: 1669246948
Entity Type: Individual
Name: Laurel Jicha, BSN
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Credential: BSN
Enumeration Date: Nov 8, 2023
Last Updated: Nov 8, 2023

Practice Location

Address: 103 ROCHESTER ST
City: Hannibal
State: New York
ZIP Code: 13074-3141
Phone: (315) 532-0108

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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