Individual
MS. CONSTANCE JOY LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5973 HOLMES HILL RD, CONESUS, NY 14435-9725
(585) 346-0042
Mailing address
5973 HOLMES HILL RD, CONESUS, NY 14435-9725
(585) 346-0042
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
255704-1
NY
Other
Enumeration date
03/02/2009
Last updated
03/02/2009
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