Individual
SARAH STURDEVANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
41 FIFTH AVENUE, TIOGA CENTER, NY 13845-0241
(607) 687-8002
Mailing address
PO BOX 241, TIOGA CENTER, NY 13845-0241
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
692702
NY
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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