Individual
MRS. CLAUDETTE WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE
Contact information
Practice address
412 3RD ST, GREENPORT, NY 11944-1314
(361) 477-4921
Mailing address
412 3RD ST, GREENPORT, NY 11944-1314
(361) 477-4921
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
220023
NY
Other
Enumeration date
03/16/2011
Last updated
03/17/2011
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