Organization
WAYNEARC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAGE WALKER (LPN)
(315) 331-2086
Entity
Organization
Contact information
Practice address
848 PEIRSON AVE, NEWARK, NY 14513-9762
(315) 331-2086
(315) 331-3215
Mailing address
848 PEIRSON AVE, NEWARK, NY 14513-9762
(315) 331-2086
(315) 331-3215
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
07/31/2008
Last updated
12/29/2008
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