Individual
BETSY SUE STOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
319 WEST AVE, LOCKPORT, NY 14094-4210
(716) 478-4627
(716) 478-4647
Mailing address
319 WEST AVE, LOCKPORT, NY 14094-4210
(716) 478-4627
(716) 478-4647
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
417343
NY
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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