Individual
ANNA MARIE MAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
151 N MAIN ST APT 1, CANANDAIGUA, NY 14424-1285
(602) 741-7644
Mailing address
151 N MAIN ST APT 1, CANANDAIGUA, NY 14424-1285
(602) 741-7644
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
408796-1
NY
Other
Enumeration date
09/25/2009
Last updated
09/25/2009
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