MR. GLEN RUDOLPH I, LPN

Licensed Practical Nurse

Active Individual
NPI: 1386819571

Practice Address

3 SIWANOY LN
Plattsburgh, NY 12901

Phone: (518) 542-2276

Specialties

Specialty Code Primary License
Licensed Practical Nurse 164W00000X Yes 264671-1 (NY)

Frequently Asked Questions

NPI 1386819571 is the National Provider Identifier for MR. GLEN RUDOLPH I, LPN, a Licensed Practical Nurse provider located in Plattsburgh, NY. This NPI was enumerated on April 28, 2008.
MR. GLEN RUDOLPH I, LPN practices at 3 SIWANOY LN, Plattsburgh, NY 12901.

Quick Facts

NPI
1386819571
Type
Individual
Enumerated
Apr 28, 2008
Last Updated
Apr 28, 2008

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