NPI 1336805159

Jamie Leigh Walck

Practitioner Mastectomy Fitter Vestal, NY

Practice location

Address: 100 Rano Blvd, Vestal, NY 13850-2776
Phone: (607) 296-2021
Fax: (607) 296-2023

Registered specialties

Mastectomy Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224900000X

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Registry record

NPI: 1336805159
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Nov 2021
Record last updated: 16 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.