Individual
CAILEE DEWOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 W UTICA ST STE B, OSWEGO, NY 13126-3059
(315) 342-1390
Mailing address
155 BROWN RD, HANNIBAL, NY 13074-2316
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
739110
NY
Other
Enumeration date
11/02/2018
Last updated
11/02/2018
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