Individual
DAISY MARRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
810 EAGLE ST, UTICA, NY 13501-4121
(315) 334-2507
Mailing address
810 EAGLE ST, UTICA, NY 13501-4121
(315) 334-2507
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
304673
NY
Other
Enumeration date
11/26/2016
Last updated
11/26/2016
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