Individual
JOHN M VAUTRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
311 PLEASANT AVE, HERKIMER, NY 13350-2449
(315) 866-2981
Mailing address
311 PLEASANT AVE, HERKIMER, NY 13350-2449
(315) 866-2981
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
638576
NY
Other
Enumeration date
12/10/2011
Last updated
12/10/2011
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