Individual
CHRISTINA DHABOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3513 WYLLYS RD, WEST POINT, NY 10996-2130
(573) 528-1302
Mailing address
3513 WYLLYS RD, WEST POINT, NY 10996-2130
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
9780921
NY
Other
Enumeration date
01/24/2018
Last updated
03/17/2018
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