MRS. Tina L Walrath, LPN
NPI #1780733311 in Gouverneur, New York
Provider Information
- NPI Number
- 1780733311
- Entity Type
- Individual
- Name
- MRS. Tina L Walrath, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Jan 10, 2007
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 100 HAILESBORO ST
- City
- Gouverneur
- State
- New York
- ZIP Code
- 13642-1608
- Phone
- (315) 287-0564
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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| Diane Shippee |
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