Individual
MICHELLE MARIE RABIDEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 W MAIN ST, MALONE, NY 12953-1751
(518) 483-9090
(518) 483-9096
Mailing address
305 W MAIN ST, MALONE, NY 12953-1751
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
30001959
NY
Other
Enumeration date
01/23/2021
Last updated
01/23/2021
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