Individual
REBECCA S EGGLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1040 CONKLIN RD, CONKLIN, NY 13748-1136
(607) 775-0170
Mailing address
620 LOWELL DR, ENDWELL, NY 13760-2525
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
551077
NY
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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