Individual
CATHERINE MARIE BLAAUBOER I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
206 ALNUT DRIVE, CLIFTON PARK, NY 12065
(518) 852-8903
Mailing address
206 WALNUT DR, CLIFTON PARK, NY 12065-7306
(518) 852-8903
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
277274
NY
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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