Individual
JULIE KIM HUSENITZA I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3776 RIVERS POINTE WAY APT 14, LIVERPOOL, NY 13090-4951
(315) 395-2169
Mailing address
3776 RIVERS POINTE WAY APT 14, LIVERPOOL, NY 13090-4951
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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