SUSAN TINA WALDT

SYRACUSE, NY
NPI1417103771
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  270162-1)
Enumeration Date2008-08-18
Last Update Date2008-08-18
Business Address
-- SUSAN TINA WALDT LPN
512 ROSEWOOD ROAD
SYRACUSE, NY 13209
Phone number: 315-491-0181
Mailing Address
-- SUSAN TINA WALDT LPN
512 ROSEWOOD ROAD
SYRACUSE, NY 13209
Phone number: 315-491-0181