Individual
MRS. BEULAH TOVERA MUDVARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
199 PRINCETON AVE, CORNING, NY 14830-1730
(607) 962-8258
Mailing address
199 PRINCETON AVE, CORNING, NY 14830-1730
(607) 962-8258
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
199460-1
NY
Other
Enumeration date
02/19/2013
Last updated
02/19/2013
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