Individual
CATHLEEN ANNE FREDETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
205 MIDDLE RD LOT 4, OSWEGO, NY 13126-5991
(315) 806-5013
Mailing address
205 MIDDLE RD LOT 4, OSWEGO, NY 13126-5991
(315) 806-5013
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
295519
NY
Other
Enumeration date
03/22/2019
Last updated
03/22/2019
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