Individual
COLLEEN SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5599 JUNO DR, LAKE VIEW, NY 14085-9724
(585) 406-5920
Mailing address
5599 JUNO DR, LAKE VIEW, NY 14085-9724
(585) 406-5920
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
436817
NY
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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