Individual
LUANN J WILDAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10879 STICKLE RD, FREEDOM, NY 14065-9533
(585) 567-4337
Mailing address
10879 STICKLE RD, FREEDOM, NY 14065-9533
(585) 567-4337
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
362128-1
NY
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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