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Individual

MRS. JOANN HATHAWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1051 DIX AVE, HUDSON FALLS, NY 12839-1053
(518) 746-3515
Mailing address
7 HILAND SPRINGS WAY # 7B, QUEENSBURY, NY 12804-5898
(518) 232-0790

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
510929
NY

Other

Enumeration date
10/15/2021
Last updated
10/15/2021
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