ETIENNA FANORD

BROOKLYN, NY
NPI1104120591
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  302194-1)
Enumeration Date2010-12-29
Last Update Date2010-12-29
Business Address
-- ETIENNA FANORD
1809 NOSTRAND AVE STE 2
BROOKLYN, NY 11226-7181
Phone number: 718-421-4224
Mailing Address
-- ETIENNA FANORD
1809 NOSTRAND AVE STE 2
BROOKLYN, NY 11226-7181
Phone number: 718-421-4224
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