Individual
LAURAL WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
127 E STATE ST, GLOVERSVILLE, NY 12078-1204
(518) 773-7931
Mailing address
127 E STATE ST, GLOVERSVILLE, NY 12078-1204
(518) 773-7931
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
194488-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WALTONL7569
HEALTHCARE PROVIDER
NY
Enumeration date
03/21/2016
Last updated
03/21/2016
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