Individual
MARILYN JANE LATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
88 E MAIN ST, HORNELL, NY 14843-2074
(607) 324-5602
Mailing address
88 E MAIN ST, HORNELL, NY 14843-2074
(607) 324-5602
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
188151-1
NY
Other
Enumeration date
11/21/2007
Last updated
11/21/2007
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