Individual
ANNETTE FULLMER WALLUK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
CORNELL UNIVERSITY HEALTH SERVICES, HO PLAZA, ITHACA, NY 14853-3101
(607) 255-6946
(607) 254-3503
Mailing address
CORNELL UNIVERSITY HEALTH SERVICES, HO PLAZA, ITHACA, NY 14853-3101
(607) 255-6946
(607) 254-3503
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
275166-1
NY
Other
Enumeration date
02/02/2006
Last updated
07/08/2007
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