Individual
MR. DANNY LEN HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
289 COUNTY ROUTE #11, GOUVERNEUR, NY 13642
(315) 287-0171
Mailing address
P.O. BOX 281, 289 COUNTY ROUTE #11, GOUVERNEUR, NY 13642
(315) 287-0171
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
279687-1
NY
Other
Enumeration date
05/13/2009
Last updated
05/13/2009
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