MABLE CLOTILDA HALLIBURTON

LAURELTON, NY
NPI1013230143
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  244215)
Enumeration Date2010-03-03
Last Update Date2010-03-03
Business Address
-- MABLE CLOTILDA HALLIBURTON LPN
13118 227TH ST
LAURELTON, NY 11413-1737
Phone number: 718-341-1102
Mailing Address
-- MABLE CLOTILDA HALLIBURTON LPN
13118 227TH ST
LAURELTON, NY 11413-1737
Phone number: 718-341-1102