Individual
CAROL BLOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4233 MILLER ST, WILLIAMSON, NY 14589-9757
(315) 589-8791
Mailing address
4233 MILLER ST, WILLIAMSON, NY 14589-9757
(315) 589-8791
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
686403
NY
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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