MARTHA MARY KICAK

SYRACUSE, NY
NPI1104230317
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  082747)
Enumeration Date2014-06-16
Last Update Date2014-06-16
Business Address
-- MARTHA MARY KICAK lpn
2105 W GENESEE ST
SYRACUSE, NY 13219-1656
Phone number: 315-468-3239
Mailing Address
-- MARTHA MARY KICAK lpn
4600 W GENESEE ST # 2105WEST
SYRACUSE, NY 13219-1707
Phone number: 315-468-3239
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