Individual
CHERYL RIBBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3480 ROUTE 364, PENN YAN, NY 14527-9335
(315) 531-8363
Mailing address
3480 ROUTE 364, PENN YAN, NY 14527-9335
(315) 531-8363
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
205478-1
NY
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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