Individual
MRS. DARLENE MARIE REPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
595 W MAIN ST, WATERTOWN, NY 13601-1335
(315) 788-1530
Mailing address
595 W MAIN ST, WATERTOWN, NY 13601-1335
(318) 788-1530
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
271443
NY
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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