Individual
CHELSAE RENAE WEED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1070 N MAIN ST, ELMIRA, NY 14901-1445
(607) 426-3902
Mailing address
201 WINDING WAY, HORSEHEADS, NY 14845-2040
(607) 215-9824
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
309532
NY
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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