Individual
ANTOINETTE WELLINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3838 MOSLEY RD, CAZENOVIA, NY 13035-8400
(315) 761-3535
Mailing address
3838 MOSLEY RD, CAZENOVIA, NY 13035-8400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
640694
NY
163W00000X
Registered Nurse
9359061
FL
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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