Individual
CERA LAYAOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1005 ELIZABETH ST EXT, MECHANICVILLE, NY 12118-1433
(518) 379-6795
Mailing address
1005 ELIZABETH ST EXT, MECHANICVILLE, NY 12118-1433
(518) 379-6795
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
319660
NY
Other
Enumeration date
01/06/2019
Last updated
01/06/2019
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