Individual
MS. COLLETTE LA CLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
106 WASHINGTON ST, WAYLAND, NY 14572-1322
(585) 728-2544
Mailing address
106 WASHINGTON ST, WAYLAND, NY 14572-1322
(585) 728-2544
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
292572-1
NY
Other
Enumeration date
12/17/2008
Last updated
12/17/2008
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