Individual
CHRISTINE WALRAVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 STRINGHAM RD, LAGRANGEVILLE, NY 12540-5528
(845) 486-4880
Mailing address
196 S GRAND AVE, POUGHKEEPSIE, NY 12603-3415
(845) 473-0646
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
409812-1
NY
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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