Individual
ADRIENNE JOY DEL MEDICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
173 MAIN ST, APT 2, WHITESBORO, NY 13492-1266
(315) 316-7621
Mailing address
PO BOX 314, SAUQUOIT, NY 13456-0314
(315) 316-7621
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
22641984
NY
Other
Enumeration date
07/12/2012
Last updated
08/14/2012
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