Individual
DOREEN IULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
715 FALCONER ST, JAMESTOWN, NY 14701-1935
(716) 665-4905
Mailing address
1 CLYDE AVE, JAMESTOWN, NY 14701-2115
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
F340867-1
NY
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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