Individual
ANMMARIE TWEEDY PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
155 MAPLE ST, BLACK RIVER, NY 13612-3106
(315) 345-6083
Mailing address
155 MAPLE ST, BLACK RIVER, NY 13612-3106
(315) 345-6083
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2828148
NY
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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