Individual
CORRINA LILLIAN HOAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4325 HANRAHAN RD, CAMPBELL, NY 14821-9759
(607) 776-0071
Mailing address
4325 HANRAHAN RD, CAMPBELL, NY 14821-9759
(607) 776-0071
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
307042-1
NY
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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