Individual
MARCIA K THOMAS BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
352 GROS BLVD, HERKIMER, NY 13350-1446
(315) 867-2000
Mailing address
13 GIBSON ST, DOLGEVILLE, NY 13329-1203
(315) 985-5568
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
585259
NY
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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