Individual
BRITTANY RYAN WELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
105 CHARMOUTH DR, SYRACUSE, NY 13207-1950
(315) 863-7630
Mailing address
105 CHARMOUTH DR, SYRACUSE, NY 13207-1950
(315) 863-7630
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
297149
NY
Other
Enumeration date
07/03/2009
Last updated
07/03/2009
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