Individual
MRS. KATHLEEN EMILIE O'HARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
515 BREMAN AVE, MATTYDALE, NY 13211-1229
(315) 454-3012
Mailing address
515 BREMAN AVE, MATTYDALE, NY 13211-1229
(315) 454-3012
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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