Individual
LAURA STAUBES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
392 FISH RD, ITHACA, NY 14850-9325
(607) 379-1266
Mailing address
392 FISH RD, ITHACA, NY 14850-9325
(607) 379-1266
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
625566-1
NY
163WH0200X
Home Health Registered Nurse
Primary
625566-1
NY
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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