Individual
ANNALEE BENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
352 ROSS RD, OGDENSBURG, NY 13669-3165
(315) 713-4220
Mailing address
352 ROSS RD, OGDENSBURG, NY 13669-3165
(315) 713-4220
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
298203-1
NY
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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