Individual
SUE ELLEN HARLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
37 EAGLE WAY, WEST CHAZY, NY 12992-2562
(518) 563-8250
Mailing address
37 EAGLE WAY, WEST CHAZY, NY 12992-2562
(518) 563-8250
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
502489
NY
Other
Enumeration date
03/13/2014
Last updated
03/22/2015
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