Individual
MRS. BARBARA L TERIELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4 COMMERCE LANE, CANTON, NY 13617
(315) 386-8191
(315) 386-1410
Mailing address
1925 OLD DEKALB RD, CANTON, NY 13617
(315) 386-4685
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
073264-1
NY
Other
Enumeration date
08/28/2006
Last updated
07/08/2007
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