Individual
KRISTINE HOUPPERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5402 RURAL AVE, LOWVILLE, NY 13367-1509
(315) 771-8325
Mailing address
5402 RURAL AVE, LOWVILLE, NY 13367-1509
(315) 771-8325
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
487556
NY
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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