Individual
MRS. CATHERINE MARGARET SHANLEY SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9 ELK DR APT B17, MONTICELLO, NY 12701-5208
(845) 417-4261
Mailing address
9 ELK DR APT B17, MONTICELLO, NY 12701-5208
(845) 417-4261
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
203787-1
NY
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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