Individual
CHARLENE MARIE DINGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2657 STATE ROUTE 3 LOT A3, FULTON, NY 13069-4853
(315) 297-4316
Mailing address
2657 STATE ROUTE 3 LOT A3, FULTON, NY 13069-4853
(315) 297-4316
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
278209
NY
Other
Enumeration date
10/26/2007
Last updated
01/22/2010
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