Courtney Bacon

NPI #1831868603 in Johnstown, New York

Provider Information

NPI Number
1831868603
Entity Type
Individual
Name
Courtney Bacon
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Sep 7, 2021
Last Updated
Sep 7, 2021

Practice Location

Address
465 N PERRY ST
ZIP Code
12095-1014
Phone
(518) 736-3908

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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