JACLYN KRISTIN SHEA

MEDFORD, NY
NPI1861168411
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: NY  348300)
Enumeration Date2021-08-23
Last Update Date2022-03-10
Business Address
JACLYN KRISTIN SHEA
1723 N OCEAN AVE
MEDFORD, NY 11763-2687
Phone number: 631-758-5858
Mailing Address
JACLYN KRISTIN SHEA
7 CORKY CT
BLUE POINT, NY 11715-1108
Phone number: 631-707-5722
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