Individual
CARRI COONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
140 MAPLE LANE LOT 85, HUSDON, NY 12534
(518) 653-7082
Mailing address
140 MAPLE LANE LOT 85, HUSDON, NY 12534
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
287316
NY
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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