Individual
MRS. JOSIEREM CONCELLADO WAITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
52 RICHLEE DR, CAMILLUS, NY 13031-1559
(315) 530-0190
Mailing address
52 RICHLEE DR, CAMILLUS, NY 13031-1559
(315) 530-0190
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
874480
NY
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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