Individual
DARINA MARIE SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2476 MOORE ROAD, RANSOMVILLE, NY 14131
(716) 208-0102
Mailing address
2616 YOUNGSTOWN LOCKPORT ROAD, RANSOMVILLE, NY 14131
(716) 208-0102
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
324738
NY
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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