Individual
LAURIE JEAN MAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
347 OLD LOUDON RD, LATHAM, NY 12110-2941
(518) 785-6453
Mailing address
14 MORGAN WAY, LATHAM, NY 12110-5522
(518) 783-7388
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
3256741
NY
Other
Enumeration date
03/03/2012
Last updated
03/03/2012
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