Individual
MARYANN MONGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
140 WILKESBARRE ST, LACKAWANNA, NY 14218-1146
(716) 822-0877
Mailing address
140 WILKESBARRE ST, LACKAWANNA, NY 14218-1146
(716) 822-0877
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
473427-1
NY
Other
Enumeration date
11/19/2010
Last updated
11/19/2010
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