Individual
MS. SUSAN JOYCE WILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
794 LIBERTY ST, PENFIELD, NY 14526-1320
(585) 264-9024
Mailing address
794 LIBERTY ST, PENFIELD, NY 14526-1320
(585) 264-9024
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
290856-1
NY
Other
Enumeration date
05/06/2010
Last updated
05/06/2010
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