Dora Mose LPN

NPI 1669703153 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1669703153
Gender Female
Enumeration Date 01/22/2010
Last Updated 01/22/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
56 MARKET ST
POTSDAM NY, 13676-1747, US
Phone (315) 265-4065
Fax (315) 265-0012
Business Location
56 MARKET ST
POTSDAM NY, 13676-1747, US
Phone (315) 265-4065
Fax (315) 265-0012
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 206832
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According to our database, Dora Mose LPN NPI is 1669703153, taxonomy code is 164W00000X and license number is 206832, license state is located at New York. Dora Mose LPN physically located at 56 Market St, Potsdam NY, 13676-1747. NPI Number Dora Mose LPN has the Individual type.

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1669703153 NPI number is provided on an as is basis without warranty of any kind. 1669703153 is maintained by the National Plan & Provider Enumeration System. The contents of Dora Mose LPN are for informational purposes only.