Individual
BETHANY MUFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
600 BATES RD, MEDINA, NY 14103-9706
(585) 798-4100
Mailing address
38 GARLAND ST, LYNDONVILLE, NY 14098-9667
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
306053
NY
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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