Individual
MRS. CHELSEA M WHALEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN II
Contact information
Practice address
738 HIGH ST, CLAYTON, NY 13624-1510
(315) 771-9774
Mailing address
721 STATE ST, CLAYTON, NY 13624-1325
(315) 741-0932
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
325120
NY
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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