Individual
MRS. COLLEEN ELIZABETH GOLICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
71 MAPLE PL, ILION, NY 13357-2225
(315) 717-9599
Mailing address
71 MAPLE PL, ILION, NY 13357-2225
(315) 717-9599
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2855131
NY
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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