Individual
MRS. CORINA JO FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17481 US ROUTE 11, 33-N, WATERTOWN, NY 13601-5344
(315) 788-4088
Mailing address
PO BOX 815, WATERTOWN, NY 13601
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
286277-1
NY
Other
Enumeration date
11/28/2012
Last updated
11/28/2012
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