RUTHANN SONIKA DEJESUS

CENTRAL ISLIP, NY
NPI1134471386
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  311665)
Enumeration Date2012-10-12
Last Update Date2012-10-12
Business Address
-- RUTHANN SONIKA DEJESUS LPN
1461 FERNDALE BLVD
CENTRAL ISLIP, NY 11722-2736
Phone number: 631-404-6512
Mailing Address
-- RUTHANN SONIKA DEJESUS LPN
1461 FERNDALE BLVD
CENTRAL ISLIP, NY 11722-2736
Phone number: 631-404-6512