Individual
CHANTEL RENEE FUERST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 E PULTENEY SQ, BATH, NY 14810-1510
(607) 664-2438
Mailing address
3 E PULTENEY SQ, BATH, NY 14810-1510
(607) 664-2438
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
751673
NY
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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