Individual
MRS. CHERIE LYNN CLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
504 STATE ST, SCHENECTADY, NY 12305-2414
(518) 382-3290
Mailing address
504 STATE ST, SCHENECTADY, NY 12305-2414
(518) 382-3290
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
206154
NY
Other
Enumeration date
08/03/2012
Last updated
08/03/2012
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