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Jaclyn Ketterer
Student in an Organized Health Care Education/Training Program in Monroe, New York
NPI 1346705407

Jaclyn Ketterer is a Student in an Organized Health Care Education/Training Program based in Monroe, NY. Jaclyn Ketterer practices in Monroe, NY. The NPI Number for Jaclyn Ketterer is 1346705407 and holds a License No. (New York).

The current practice location address for Jaclyn Ketterer is 394 Old Dutch Hollow Rd, Monroe, NY and can be reached out via phone at 845-313-8154.

Location: 394 Old Dutch Hollow Rd, Monroe, NY, 10950-4575
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346705407
Provider Name
Jaclyn Ketterer
Credential
Provider Entity Type
Individual
Gender
Female
Address
394 Old Dutch Hollow Rd, Monroe, NY, 10950-4575
Phone Number
845-313-8154
Fax Number
Provider Enumeration Date
02/04/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
394 Old Dutch Hollow Rd
City
Monroe
State
New York
Zip
10950-4575
Phone Number
845-313-8154
Fax Number
person
Provider Business Mailing Address Details
Address
394 Old Dutch Hollow Rd
City
Monroe
State
New York
Zip
10950-4575
Phone Number
845-313-8154
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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