Individual
MRS. DEBORAH ANNE MATZAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2087 LENO RD, PALMYRA, NY 14522-9520
(315) 502-4087
Mailing address
2087 LENO RD, PALMYRA, NY 14522-9520
(315) 502-4087
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
500357
NY
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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