Individual
BETTY HOLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11849 E CORNING RD, CORNING, NY 14830-3695
(607) 962-0102
Mailing address
11849 E CORNING RD, CORNING, NY 14830-3695
(607) 962-0102
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
416965
NY
Other
Enumeration date
06/22/2010
Last updated
06/22/2010
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