Individual
CHRISTINE WALPOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1603 COURT ST, SYRACUSE, NY 13208-1834
(315) 475-1382
Mailing address
1603 COURT ST, SYRACUSE, NY 13208-1834
(315) 475-1382
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
490628111
NY
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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