Individual
ANNE MARIE WELLENZOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
307 OLD COVE RD, LIVERPOOL, NY 13090-3743
(315) 414-8166
Mailing address
307 OLD COVE RD, LIVERPOOL, NY 13090-3743
(315) 414-8166
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
316292-1
NY
Other
Enumeration date
09/13/2015
Last updated
09/13/2015
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