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Individual

SAMANTHA MEOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
47 STOCKTON AVE, WALTON, NY 13856-1475
(607) 865-4116
Mailing address
47 STOCKTON AVE, WALTON, NY 13856-1475

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
679894
NY

Other

Enumeration date
09/20/2018
Last updated
09/20/2018
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