Individual
BONNIE JOYCE CHAPIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
500 RIVER ROAD, EDWARDS, NY 13635
(315) 562-1223
Mailing address
500 RIVER ROAD, EDWARDS, NY 13635
(315) 562-1223
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
277357-1
NY
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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