Individual
COURTNEY E HALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2539 DEGROFF RD, NUNDA, NY 14517-9639
(585) 991-2118
Mailing address
PO BOX 224, NUNDA, NY 14517-0224
(585) 991-2118
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
306581-1
NY
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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