Individual
CHRISTINE J MAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
16471 W LAKE RD, OSWEGO, NY 13126-7003
(315) 343-2347
Mailing address
16471 W LAKE RD, OSWEGO, NY 13126-7003
(315) 343-2347
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
071519
NY
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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