Individual
DANIELLE HOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
221 MCFADDEN RD, LISBON, NY 13658-3284
(315) 778-8432
Mailing address
221 MCFADDEN RD, LISBON, NY 13658-3284
(315) 778-8432
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
321503
NY
164W00000X
Licensed Practical Nurse
Primary
321503-1
NY
Other
Enumeration date
05/24/2023
Last updated
06/06/2023
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