KATHLEEN BACON

CHEEKTOWAGA, NY
NPI1518194414
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  083037)
Enumeration Date2009-06-18
Last Update Date2009-06-18
Business Address
KATHLEEN BACON LPN
1680 WALDEN AVE
CHEEKTOWAGA, NY 14225-4914
Phone number: 716-894-7777
Mailing Address
KATHLEEN BACON LPN
S 5820 DIANA LN
LAKEVIEW, NY 14085
Phone number: 716-627-2821