Individual
KARA W EATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
102 WESTFIELD DR, ITHACA, NY 14850-3111
(607) 277-7214
Mailing address
102 WESTFIELD DR, ITHACA, NY 14850-3111
(607) 277-7214
Taxonomy
Speciality
Code
Description
License number
State
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
255819-1
NY
Other
Enumeration date
01/22/2008
Last updated
01/22/2008
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