Individual
MARYGRACE FRONK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
167 S 4TH ST, FULTON, NY 13069-1859
(315) 593-5500
Mailing address
196 HAWK RD, FULTON, NY 13069-4497
(315) 593-7965
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
2438901
NY
Other
Enumeration date
02/03/2012
Last updated
02/03/2012
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