Individual
MRS. CHANTAL L FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3995 RT 14A, READING CENTER, NY 14876-0073
(607) 207-8775
Mailing address
PO BOX 73, READING CENTER, NY 14876-0073
(607) 207-8775
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
311084-1
NY
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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