Individual
MARILYN WALLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 INSTITUTE ST # NA, JAMESTOWN, NY 14701-6628
(716) 484-4334
Mailing address
107 INSTITUTE ST # NA, JAMESTOWN, NY 14701-6628
(716) 484-4334
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
311376
NY
Other
Enumeration date
07/07/2023
Last updated
04/03/2024
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