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Mrs. Paula Mary Derleth, DC
Student in an Organized Health Care Education/Training Program in Penfield, New York
NPI 1366602369

Paula Mary Derleth is a Student in an Organized Health Care Education/Training Program based in Penfield, NY. Paula Mary Derleth practices in Penfield, NY and has the professional credentials of DC. The NPI Number for Paula Mary Derleth is 1366602369 and holds a License No. (New York).

The current practice location address for Paula Mary Derleth is 2 Edenfield Rd, Penfield, NY and can be reached out via phone at 585-746-0453.

Location: 2 Edenfield Rd, Penfield, NY, 14526-1413
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366602369
Provider Name
Paula Mary Derleth
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
2 Edenfield Rd, Penfield, NY, 14526-1413
Phone Number
585-746-0453
Fax Number
Provider Enumeration Date
06/12/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2 Edenfield Rd
City
Penfield
State
New York
Zip
14526-1413
Phone Number
585-746-0453
Fax Number
person
Provider Business Mailing Address Details
Address
2 Edenfield Rd
City
Penfield
State
New York
Zip
14526-1413
Phone Number
585-746-0453
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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