Individual
CHERYL DEFREZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
28 PINE ST, BATH, NY 14810-1429
(607) 661-2248
Mailing address
28 PINE ST, BATH, NY 14810-1429
(607) 661-2248
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
275616-1
NY
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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