Individual
CANDICE EMSLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 WALNUT ST, LACKAWANNA, NY 14218-3352
(716) 825-5146
Mailing address
118 WALNUT ST, LACKAWANNA, NY 14218-3352
(716) 825-5146
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
209706-1
NY
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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