Individual
CHRISTENE E WENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14379 ROUTE 9W, CIRCLE OF FRIENDS, RAVENA, NY 12143-0000
(518) 756-3124
(518) 756-9476
Mailing address
14379 ROUTE 9W, CIRCLE OF FRIENDS, RAVENA, NY 12143-0000
(518) 756-3124
(518) 756-9476
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
527745111
VA
Other
Enumeration date
04/04/2013
Last updated
04/04/2013
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