Individual
DONNA MARIE BRAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37 EAGLE WAY, WEST CHAZY, NY 12992-2562
(518) 324-2520
(518) 324-3695
Mailing address
37 EAGLE WAY, WEST CHAZY, NY 12992-2562
(518) 324-2520
(518) 324-3695
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
349682
NY
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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