Individual
MRS. ANGIE L. DEGRAFF-DACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
160 FLORENTIA LN E, CORNING, NY 14830
(607) 207-1137
Mailing address
160 FLORENTIA LN E, CORNING, NY 14830
(607) 207-1137
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
293945
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03032937
—
NY
Enumeration date
08/18/2008
Last updated
05/07/2009
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