Individual
MRS. MOLLIE WILSON CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
27 LACKAWANNA AVE, MT. MORRIS ACADEMY, MOUNT MORRIS, NY 14510-1001
(585) 658-7620
(585) 658-7697
Mailing address
27 LACKAWANNA AVE, MT. MORRIS ACADEMY, MOUNT MORRIS, NY 14510-1001
(585) 658-7620
(585) 658-7697
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
249767
NY
Other
Enumeration date
08/10/2012
Last updated
08/10/2012
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