Individual
MRS. DAMETRESS MARYLAND HAUGHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2303 2ND AVENUE, ROTTERDAM, NY 12303
(518) 881-8967
Mailing address
2303 2ND AVE, SCHENECTADY, NY 12303
(518) 881-8967
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
274686-1
NY
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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