Individual
MRS. LANETTE ANN OTTALAGANO VINCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
409 BELL RD S, ROME, NY 13440-3864
(315) 338-6500
Mailing address
14 SELDEN DR, ROME, NY 13440-0901
(315) 533-5394
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
631567-1
NY
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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