Individual
MARTHA FLYE PLUMER GAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
400 FORT HILL AVE, CANANDAIGUA, NY 14424-1159
(585) 394-2000
Mailing address
PO BOX 35, ROSEBUD, SD 57570-0035
(970) 396-6177
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
R048372
SD
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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