Individual
BEATRICE J BUBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
5349 MARK LN, CAZENOVIA, NY 13035-9336
(315) 655-2907
Mailing address
5349 MARK LN, CAZENOVIA, NY 13035-9336
(315) 655-2907
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
362603
NY
Other
Enumeration date
06/01/2010
Last updated
06/01/2010
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