Most Relevant Information
Provider Data
| NPI Number: | 1003357575 |
| Provider Name: | JENNIFER N BLUM |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/16/2017 |
| Last Updated: | 03/16/2017 |
Provider Practice Location
3054 BUDDE RD
FRANKLINVILLE
NY
147379700
Practice Location Phone/Fax
| Phone: | 7162580557 |
| Fax: |
Provider Mailing Location
3054 BUDDE RD
FRANKLINVILLE
NY
147379700
Provider Mailing Phone/Fax
| Phone: | 7162580557 |
| Fax: |