MISS Jenna Dyer

NPI #1770028219 in Owego, New York

Provider Information

NPI Number: 1770028219
Entity Type: Individual
Name: MISS Jenna Dyer
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Early Intervention Provider Agency
Enumeration Date: Dec 19, 2016
Last Updated: Dec 19, 2016

Practice Location

Address: 1062 STATE ROUTE 38
City: Owego
State: New York
ZIP Code: 13827-3209
Phone: (607) 687-8611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Early Intervention Provider Agency	252Y00000X	Primary

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