Individual
CARRIE POMAINVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 4TH ST, MALONE, NY 12953-1340
(518) 481-8160
Mailing address
1302 COUNTY ROUTE 25, MALONE, NY 12953-6024
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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