Individual
LUCIA R VASSALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
52 METCALF DRIVE, AUBURN, NY 13021
(315) 255-8609
(315) 282-2805
Mailing address
52 METCALF DRIVE, AUBURN, NY 13021
(315) 255-8609
(315) 282-2805
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
738474
NY
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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