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Individual

JULIE WALTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA/HHA RN STUDENT

Contact information

Practice address
5905 STATE ROUTE 224, ALPINE, NY 14805-9795
(607) 279-9436
Mailing address
5905 STATE ROUTE 224, ALPINE, NY 14805-9795
(607) 279-9436

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
343150780711E
NY
374U00000X
Home Health Aide
00258477
NY

Other

Enumeration date
08/22/2011
Last updated
08/22/2011
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