Individual
DARCEY A DWELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8865 NUMBER 5 RD E, MANLIUS, NY 13104-8507
(315) 663-6776
Mailing address
8865 NUMBER 5 RD E, MANLIUS, NY 13104-8507
(315) 663-6776
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
10-297745
NY
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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