Individual
BETHANNE HERTWECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2 TERRITORY RD, ONEIDA, NY 13421-9304
(315) 829-8700
(315) 892-8730
Mailing address
10972 TABERG FLORENCE RD, CAMDEN, NY 13316-4018
(315) 245-2391
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
24674-1
NY
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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