Individual
MRS. BRIDGETTE LYNN GODFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
167 SOUTH 4TH STREET, FULTON, NY 13069
(315) 963-4229
Mailing address
182 GILBERT MILLS ROAD, PHOENIX, NY 13135
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
610009
NY
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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