Individual
MRS. BETTY L PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED PRACTICAL N
Contact information
Practice address
109 MOHAWK AVE, SCOTIA, NY 12302
(518) 935-8138
Mailing address
109 MOHAWK AVE, SCOTIA, NY 12302
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
125397-1
NY
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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