Individual
BILLIE JO LOVELESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 EAST CLINTON STREET, APT 1, JOHNSTOWN, NY 12095
(518) 848-3325
Mailing address
6 E CLINTON ST, APT 1, JOHNSTOWN, NY 12095-2527
(518) 848-3325
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
274717-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
274717-1
LPN
NY
Enumeration date
09/01/2016
Last updated
09/01/2016
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