Individual
MRS. BONNIE SUMMERS OVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9 STEVENS LN, FORT EDWARD, NY 12828-1211
(518) 747-8985
Mailing address
9 STEVENS LN, FORT EDWARD, NY 12828-1211
(518) 747-8985
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
196736-1
NY
Other
Enumeration date
11/30/2009
Last updated
11/30/2009
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