Individual
ANNA ELIZABETH QUENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
11757 NYS RT 12E, CHAUMONT, NY 13622-4116
(315) 783-5241
Mailing address
PO BOX 593, CHAUMONT, NY 13622-0593
(315) 783-5241
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
333424
NY
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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