Individual
COLLEEN PLUMLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
97 PATRICIA DR, NORTH SYRACUSE, NY 13212-4272
(315) 956-3631
Mailing address
7743 DAVIS RD S, NORTH SYRACUSE, NY 13212-1655
(315) 956-3631
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
28417701
NY
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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