Individual
SUZANNE RATNOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
180 KENWOOD AVE, ONEIDA, NY 13421
(315) 378-6554
Mailing address
180 KENWOOD AVE, ONEIDA, NY 13421
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
027373
NY
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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