Individual
MALISSA DUPRAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
17 SCHOOL ST, PERU, NY 12972-2616
(518) 643-6206
(518) 643-6081
Mailing address
17 SCHOOL ST, PERU, NY 12972-2616
(518) 643-6206
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
575788
NY
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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