Individual
DALLAS RAE HUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1919 VALLEY DR, SYRACUSE, NY 13207-2835
(315) 575-2040
Mailing address
1919 VALLEY DR, SYRACUSE, NY 13207-2835
(315) 575-2040
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
328673
NY
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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