Individual
MISS SHAUNA MARIE MULPAGANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
23 1ST STREET, CAMILLUS, NY 13031
(315) 672-5757
Mailing address
5093 CLIFTON DRIVE, NORTH SYRACUSE, NY 13212-2637
(315) 458-9257
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
296231-1
NY
Other
Enumeration date
04/09/2009
Last updated
04/09/2009
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