Individual
MRS. BECKY NOONAN X
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
197 MARTIN RD, JAMESTOWN, NY 14701-9224
(716) 483-4350
Mailing address
197 MARTIN RD, JAMESTOWN, NY 14701-9224
(716) 483-4350
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
510746
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
510746
—
NY
Enumeration date
12/18/2014
Last updated
12/18/2014
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