Individual
MRS. MARY R. CASEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8058 EVESBOROUGH DR, CLAY, NY 13041-9139
(315) 572-0752
Mailing address
8058 EVESBOROUGH DR, CLAY, NY 13041-9139
(315) 572-0752
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
10213366
NY
372600000X
Adult Companion
Primary
10213366
NY
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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