Individual
ANN RILLERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
531 W STATE ST UNIT 1, ITHACA, NY 14850-5221
(607) 275-0238
Mailing address
118 WESTMOUNT DR, ITHACA, NY 14850-2050
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
258024
NY
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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