Individual
CANDY LYNN MICHAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 4TH ST, MALONE, NY 12953-1340
(518) 483-3261
Mailing address
6 SOUTH ST, BRASHER FALLS, NY 13613-3149
(315) 212-7177
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
682139-1
NY
Other
Enumeration date
07/05/2017
Last updated
07/05/2017
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