Individual
BETH SPOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 TERRITORY RD, ONEIDA, NY 13421-9304
(315) 829-8700
Mailing address
2 TERRITORY RD, ONEIDA, NY 13421-9304
(315) 829-8704
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
248887
NY
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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