Individual
DANIELLE MCDUFFEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
150 WEBB RD, JOHNSTOWN, NY 12095-3519
(518) 921-1129
Mailing address
150 WEBB RD, JOHNSTOWN, NY 12095-3519
(518) 921-1129
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
312658
NY
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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