Individual
JANIE SEVERANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2383 STATE ROUTE 95, BOMBAY, NY 12914-2017
(518) 358-2228
Mailing address
38 FOREST RD, MASSENA, NY 13662-3408
(315) 764-0138
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
482222
NY
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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