Individual
BETTY LOU VANDERWERFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
100 GENESEE STREET, AUBURN, NY, NY 13021
(315) 252-3441
Mailing address
PO BOX 984, AUBURN, NY, NY 13021
(315) 224-0707
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
277533
NY
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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