PROF. Dale Armetta Douglas I, L.P.N
NPI #1639368640 in Chittenango, New York
Provider Information
- NPI Number
- 1639368640
- Entity Type
- Individual
- Name
- PROF. Dale Armetta Douglas I, L.P.N
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- L.P.N
- Enumeration Date
- Oct 16, 2007
- Last Updated
- Oct 16, 2007
Practice Location
- Address
- 130 MALLARD BAY
- City
- Chittenango
- State
- New York
- ZIP Code
- 13037-9553
- Phone
- (315) 633-0136
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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