Individual
CINDY MARY SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
42 HUSKIE LN, MALONE, NY 12953-2451
(518) 483-7807
Mailing address
40 SCOTT DR, MALONE, NY 12953-2407
(518) 651-4604
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
203748
NY
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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