Individual
MS. MICHELE M VONGLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3170 MAIER LN, CALEDONIA, NY 14423-9639
(585) 356-0691
Mailing address
3170 MAIER LN, CALEDONIA, NY 14423-9639
(585) 356-0691
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
526401
NY
163WH1000X
Hospice Registered Nurse
526401
NY
163WX0200X
Oncology Registered Nurse
526401
NY
Other
Enumeration date
03/31/2009
Last updated
03/31/2009
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