Individual
MRS. CAMILLE MARIE TICHENOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
433 GEYSER RD, BALLSTON SPA, NY 12020
(518) 885-6884
(518) 885-0077
Mailing address
25 STEWART DAM RD, CORINTH, NY 12822-2721
(518) 885-6884
(518) 885-0077
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
523847-1
NY
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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