Individual
MARISA JEAN CHAMBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 BENHAM ST # 1, PENN YAN, NY 14527-1211
(315) 454-7157
Mailing address
102 BENHAM ST # 1, PENN YAN, NY 14527-1211
(315) 454-7157
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NY000426685E
NY
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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