Individual
DANITA N PAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2749 SPENCERPORT RD, SPENCERPORT, NY 14559-1942
(585) 349-5352
(585) 349-5386
Mailing address
2749 SPENCERPORT RD, SPENCERPORT, NY 14559-1942
(585) 349-5352
(585) 349-5386
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
304204
NY
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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