Individual
MRS. DEBRA JEAN ALT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN,DOULA,
Contact information
Practice address
1085 NILES RD, EARLVILLE, NY 13332-2821
(315) 243-4688
Mailing address
1085 NILES RD, EARLVILLE, NY 13332-2821
(315) 243-4688
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
OGWTDQ3IXH
NY
Other
Enumeration date
04/20/2011
Last updated
04/20/2011
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