Individual
MALINDA RACHELLE TUTTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 MAPLE ST, BINGHAMTON, NY 13905-2303
(607) 222-8504
Mailing address
11 MAPLE ST, BINGHAMTON, NY 13905-2303
(607) 222-8504
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
86-2651361
NY
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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