Cheryl Provencher, LPN

NPI #1033875844 in Middletown, New York

Provider Information

NPI Number
1033875844
Entity Type
Individual
Name
Cheryl Provencher, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Nov 16, 2021
Last Updated
Nov 16, 2021

Practice Location

Address
15 FORTUNE RD W
ZIP Code
10941-1625
Phone
(518) 477-0156

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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