Individual
JUDY ELLEN HINMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2705 VIDLER RD, WEST EDMESTON, NY 13485-2933
(315) 861-7696
Mailing address
2705 VIDLER RD, WEST EDMESTON, NY 13485-2933
(315) 861-7696
Taxonomy
Speciality
Code
Description
License number
State
163WG0100X
Gastroenterology Registered Nurse
Primary
507959-1
NY
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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