Individual
CAROL WAYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 KENNEDY PKWY, CORTLAND, NY 13045-1409
(607) 753-9105
Mailing address
22 ABDALLAH AVE, CORTLAND, NY 13045-3303
(607) 423-6014
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
Primary
409878
NY
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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