Individual
MRS. DEBBIE JEAN ULTSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNO
Contact information
Practice address
1400 NOYES ST, UTICA, NY 13502-3854
(315) 738-4173
Mailing address
4105 TRACY RD, FORESTPORT, NY 13338-2024
(315) 796-3722
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
437185
NY
Other
Enumeration date
05/02/2018
Last updated
05/02/2018
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