Individual
MS. REGINA M WILLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA C
Contact information
Practice address
80 STATE HIGHWAY 310, SUITE 1, CANTON, NY 13617-1493
(315) 386-2189
(315) 386-2435
Mailing address
80 STATE HIGHWAY 310, SUITE 1, CANTON, NY 13617-1493
(315) 386-2189
(315) 386-2435
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
001128
NY
363A00000X
Physician Assistant
3588
NY
Other
Enumeration date
03/28/2007
Last updated
03/16/2008
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