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Individual

MRS. JOEY P SHELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
80 ST HWY, SUITE 2, CANTON, NY 13617
(315) 386-2325
(315) 386-2781
Mailing address
PO BOX 287, HANNAWA FALLS, NY 13647
(315) 386-2325
(315) 386-2781

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
508500-1
NY

Other

Enumeration date
01/09/2009
Last updated
01/09/2009
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