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1114267812
RENATA FONTALVO
MELVILLE, NY
NPI
1114267812
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: NY 658545)
Enumeration Date
2013-02-18
Last Update Date
2013-02-18
Business Address
Mrs. RENATA FONTALVO RN
65 THREEPENCE DR
MELVILLE, NY 11747-4024
Phone number: 516-987-1262
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Mailing Address
Mrs. RENATA FONTALVO RN
65 THREEPENCE DR
MELVILLE, NY 11747-4024
Phone number: 516-987-1262
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