Individual
CHRISTINE PATRICE CALDWELL-RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7856 RUSSELL LN, MANLIUS, NY 13104-2439
(315) 432-5636
Mailing address
7856 RUSSELL LN, MANLIUS, NY 13104-2439
(315) 432-5636
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
110312-1
NY
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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