MRS. Debra Lou Mountain, LPN

NPI #1740902212 in Corning, New York

Provider Information

NPI Number
1740902212
Entity Type
Individual
Name
MRS. Debra Lou Mountain, LPN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Sep 13, 2022
Last Updated
Sep 13, 2022

Practice Location

Address
15 SIMS AVENUE
ZIP Code
14830
Phone
(419) 239-7586

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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