Individual
HOLLY MARIE WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
57 HELMSFORD WAY, PENFIELD, NY 14526-1971
(860) 944-3951
Mailing address
57 HELMSFORD WAY, PENFIELD, NY 14526-1971
(860) 944-3951
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
832287
NY
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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