JOHANNAH SHORTLE

TRUMANSBURG, NY
NPI1336664655
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NY  341858)
Enumeration Date2017-08-08
Last Update Date2017-08-08
Business Address
JOHANNAH SHORTLE
4435 SENECA RD
TRUMANSBURG, NY 14886-9201
Phone number: 607-387-5707
Mailing Address
JOHANNAH SHORTLE
651 RIDGE RD APT B4
LANSING, NY 14882-8866
Phone number:
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