Individual
LESANDRA JUNE BERTCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1126 BALD HILL RD, HORNELL, NY 14843-1262
(607) 281-3177
(607) 324-3842
Mailing address
1126 BALD HILL RD, HORNELL, NY 14843-1262
(607) 281-3177
(607) 324-3842
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
378567-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
NY
Enumeration date
09/17/2019
Last updated
09/17/2019
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