JAIMIE LANE

SELDEN, NY
NPI1730614207
Former NameJAIMIE OTTONE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
Enumeration Date2017-04-21
Last Update Date2017-04-24
Business Address
-- JAIMIE LANE M.S
51 KING AVE
SELDEN, NY 11784-2343
Phone number: 631-553-0667
Mailing Address
-- JAIMIE LANE M.S
51 KING AVE
SELDEN, NY 11784-2343
Phone number: 631-553-0667