Individual
MRS. RUBY LOUISE SALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
300 CHAZY LAKE RD, SARANAC, NY 12981
(518) 293-1171
Mailing address
29 ROGERS LANE, KEESEVILLE, NY 12944
(518) 834-6050
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
3804691
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MA01258593
—
NY
Enumeration date
05/21/2008
Last updated
05/21/2008
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