Individual
MRS. CAROLINE NANCY BACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4128 STATE ROUTE 36, CANISTEO, NY 14823-9653
(607) 368-2826
Mailing address
4128 STATE ROUTE 36, CANISTEO, NY 14823-9653
(607) 368-2826
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
152993-1
NY
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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