Individual
MRS. JANIS ARLENE WETHERHULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
237 LETSON RD, MOOERS, NY 12958-4139
(518) 236-7724
Mailing address
237 LETSON RD, MOOERS, NY 12958-4139
(518) 236-7724
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
475179-1
NY
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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