Individual
CHRISTOPHER SPETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
700 W STATE ST, OLEAN, NY 14760-2346
(716) 373-9755
Mailing address
204 PROSSER RD, PORTVILLE, NY 14770-9763
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
266948-1
NY
Other
Enumeration date
04/08/2010
Last updated
04/08/2010
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