Leotha Emelia Maynard, LPN
NPI #1396948998 in Stormville, New York
Provider Information
- NPI Number
- 1396948998
- Entity Type
- Individual
- Name
- Leotha Emelia Maynard, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Jun 9, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 7 SUN UP RD
- City
- Stormville
- State
- New York
- ZIP Code
- 12582-5125
- Phone
- (845) 223-6714
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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