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Glenda Sue Christian, lpn

Point of Service in Youngstown, NY. Individual provider (NPI-1).

NPI number1043480106
StatusActive
Last updated in NPPESMar 5, 2008

Details

NPI
1043480106
Entity type
Individual (NPI-1)
Name
Ms. Glenda Sue Christian
Credential
lpn
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 5, 2008
Last updated
Mar 5, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
305S00000X Point of Service220516-1NYYes

Practice location

3134 Oak Ave
Youngstown, NY 14174-1061

Phone 716-745-7201

Mailing address

3134 Oak Ave
Youngstown, NY 14174-1061

Phone 716-745-7201

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