Individual
MS. CAROLEANNE HATCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3721 PARKER RD S, SENECA FALLS, NY 13148-9615
(315) 224-5822
Mailing address
3721 PARKER RD S, SENECA FALLS, NY 13148-9615
(315) 224-5822
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
257078-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257078-1
—
NY
Enumeration date
09/24/2012
Last updated
09/24/2012
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