Individual
CASSIDY JEAN THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1011 W GENESEE ST STE 3, SYRACUSE, NY 13204-2329
(315) 476-0600
Mailing address
308 W ELM ST, ONEIDA, NY 13421-1316
(315) 761-2950
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
346566
NY
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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