Jaquel Shanta Denardo, LPN
NPI #1689322653 in North Syracuse, New York
Provider Information
- NPI Number
- 1689322653
- Entity Type
- Individual
- Name
- Jaquel Shanta Denardo, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Mar 17, 2022
- Last Updated
- Mar 17, 2022
Practice Location
- Address
- 100 WALTON RD
- City
- North Syracuse
- State
- New York
- ZIP Code
- 13212-4243
- Phone
- (315) 418-3150
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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