Individual
BILLIE JO MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
20 WEST ST, APT A, CANTON, NY 13617-1394
(315) 528-9076
Mailing address
20 WEST ST, APT A, CANTON, NY 13617-1394
(315) 528-9076
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
278103
NY
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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