Individual
CECILIA C MONDRAGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
56 MARKET ST, POTSDAM, NY 13676-1747
(315) 265-4065
(315) 265-0012
Mailing address
56 MARKET ST, POTSDAM, NY 13676-1747
(315) 265-4065
(315) 265-0012
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
659183
NY
164W00000X
Licensed Practical Nurse
301762
NY
Other
Enumeration date
08/11/2010
Last updated
08/10/2012
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