Individual
WANDA M WAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
101 SOPHIE DR, OSWEGO, NY 13126-3885
(315) 777-1918
Mailing address
101 SOPHIE DR, OSWEGO, NY 13126-3885
(315) 777-1918
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
551218-1
NY
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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