Jaclyn I Sholly
Jaclyn I Sholly is a Specialist in Newark, New York. Practices as a sole proprietor. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
848 Peirson AveNewark, NY 14513-9762
Phone: (315) 331-2086
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Specialties & licences
| Specialist (primary) | Taxonomy 174400000X |
|---|
Record details
| NPI number | 1225382062 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 1, 2012 |
| Last updated in NPPES | November 1, 2012 |
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