Individual
CHELSIE VERDEHEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1628 TOOMEY RD, BELLONA, NY 14415-9701
(315) 759-8911
Mailing address
PO BOX 28, BELLONA, NY 14415-0028
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
10-316629
NY
Other
Enumeration date
05/01/2016
Last updated
05/01/2016
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