Individual
BETHANY LOUISE BLOUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
251 FRENCH ST, HASTINGS, NY 13076-3106
(315) 399-9991
Mailing address
251 FRENCH ST, HASTINGS, NY 13076-3106
(315) 399-9991
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
333370
NY
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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